Which intervention will the nurse include in the plan of care for a 52-year-old male patient with syndrome of inappropriate antidiuretic hormone (SIADH)?
a. Monitor for peripheral edema.
b. Offer patient hard candies to suck on.
c. Encourage fluids to 2 to 3 liters per day.
d. Keep head of bed elevated to 30 degrees.
ANS: B
Sucking on hard candies decreases thirst for a patient on fluid restriction. Patients with SIADH are on fluid restrictions of 800 to 1000 mL/day. Peripheral edema is not seen with SIADH. The head of the bed is elevated no more than 10 degrees to increase left atrial filling pressure and decrease antidiuretic hormone (ADH) release.
You might also like to view...
The communication style that would be most effective for a culturally knowledgeable nurse to adopt
during an assessment interview with a 40-year-old Native American client would be a. the frequent use of nonverbal behaviors such as gesturing, smiling, and making wry faces to express negatives. b. a loud voice, unbroken eye contact, minimal gesturing, and straight-to-the-point questions. c. to be open and friendly, ask direct questions, and touch the client's arm or hand occasionally for reassurance. d. a soft voice, breaking eye contact occasionally, with general leads and reflective techniques.
While providing postmortem care to a patient who has died the patient elicits a respiratory sound when turned. What should the nurse do?
1. Check for a pulse. 2. Reposition the airway. 3. Continue with the postmortem care. 4. Report to the physician the patient is still breathing.
The patient taking furosemide (Lasix) to correct excess edema shows a weight loss of 5.5 pounds in 24 hours. The nurse calculates that this weight loss is equivalent to how many liters (L) of fluid?
a. 1 L b. 1.5 L c. 2.0 L d. 2.5 L
Nursing assistants may document simple care, such as bathing, on the flow sheet in advance.
Answer the following statement true (T) or false (F)