The nurse is preparing a care plan for a patient admitted with syndrome of inappropriate antidiuretic hormone secretion (SIADH). The priority nursing diagnosis for a patient with this condition is:
A) Deficient fluid volume
B) Excessive fluid volume
C) Hypothermia
D) Hyperthermia
Ans: B
Feedback: The priority nursing diagnosis for a patient with SIADH is excessive fluid volume, as the patient retains fluids and develops a sodium deficiency. Restricting fluid intake is a typical intervention for managing this syndrome. Temperature imbalances are not associated with SIADH, so hyperthermia and hypothermia are not priority nursing diagnoses.
You might also like to view...
Unasyn is being administered to a patient with an infection caused by Staphylococcus aureus. What type of anti-infective is Unasyn?
A) Extended-spectrum antipseudomonal penicillin B) Penicillin–beta-lactamase inhibitor combination C) Cephalosporin D) Aminopenicillin
The appropriate response to an older person who states, "I just don't want to live anymore," is to
a. Notify the family that the older person is not feeling well b. Assign a nursing assistant to sit with the older adult c. Ask the older adult if he or she has a suicide plan d. Encourage the older person to get involved in activities outside of the home
Certain foods are known to have a positive effect on the immune system. Which of the following meals would a nurse recommend as ideal for the older adult?
A) Roast beef sandwich on a roll with cheese; fruit salad; and tea. B) Broiled fish with potatoes; a salad; and a glass of tomato juice. C) Fish sandwich on wheat bread with lettuce and tomato; fruit compote with honey; and a glass of skim milk. D) Yankee pot roast with whole-grain rice; green beans; blueberry pie with low-fat ice cream; and a glass of skim milk.
A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following?
A) Ligament B) Tendon C) Cartilage D) Joint