Which of the following nursing interventions should be initiated on all patients with SIADH?
a. Placing the patient on an air mattress c. Initiating seizure precautions
b. Forcing fluids d. Applying soft restraints
C
The patient with SIADH has an excess of ADH secreted into the bloodstream, more than the amount needed to maintain normal blood volume and serum osmolality. Excessive water is resorbed at the kidney tubule, leading to dilutional hyponatremia. Symptoms of severe hyponatremia include an inability to concentrate, mental confusion, apprehension, seizures, a decreased level of consciousness, coma, and death.
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A patient is switched from furosemide (Lasix) to spironolactone (Aldactone). The patient asks the nurse why she has been switched to a new medicine. What is the nurse's best response?
A) "You will lose less potassium with spironolactone than with furosemide." B) "You will have greater potassium losses with spironolactone than with furosemide." C) "You will have greater water losses with spironolactone than with furosemide." D) "You will have greater sodium losses with spironolactone than with furosemide."
The school nurse is working with a group of high school students who will be going on a field trip to a nature center. Which student is at highest risk for a tick bite?
a. Male student with a beard and a baseball cap b. Female student with long hair pulled back in a ponytail c. Male student wearing a long-sleeved shirt and shorts d. Female student who is wearing scented hand lotion
Which age-appropriate information should the nurse provide to a 4-year-old girl who is being emotionally prepared for open heart surgery?
1. The name of the surgeon who will be performing the procedure 2. What the surgical procedure will entail 3. The purpose of the heart–lung machine used during the procedure 4. What the environment will look and sound like when the child wakes up
A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for discharge, the nurse is discussing home care with her mother
Which statement made by the mother indicates a correct understanding of the teaching? a. "I should expect my child to have a few episodes of vomiting." b. "If I notice sleep disturbances, I should contact the physician immediately." c. "I should expect my child to have some behavioral changes after the accident." d. "If I notice diplopia, I will have my child rest for 1 hour."