A client with suspected syndrome of inappropriate antidiuretic hormone (SIADH) has a serum sodium of 114 mEq/L. Which action by the nurse is best?
a. Consult with the registered dietitian about increased dietary sodium.
b. Restrict the client's fluid intake to 900 mL/24 hr.
c. Handle the client gently by using turn sheets for repositioning.
d. Instruct the nursing assistants to measure intake and output.
B
With SIADH, clients often have dilutional hyponatremia. The client needs a fluid restriction, sometimes to as little as 500 to 600 mL/24 hr. The client should be on intake and output (I&O); however, this will monitor only the client's intake, so it is not the best answer. Reducing intake will help increase the client's sodium. Adding sodium to the client's diet will not help if he or she is retaining fluid and diluting the sodium. The client is not at increased risk for fracture, so gentle handling is not an issue.
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Fill in the blank(s) with correct word