A nurse is assessing a client with the diagnosis of SIADH. The nurse would anticipate the client's physical findings to be consistent with:
1. severe overhydration.
2. acute renal failure.
3. severe dehydration.
4. a shock state.
Correct Answer: 1
Rationale 1: SIADH is characterized by water retention. The urine output is scant, and the serum is very dilute.
Rationale 2: The symptoms of SIADH are different from those for acute renal failure.
Rationale 3: The client is not dehydrated.
Rationale 4: SIADH does not produce symptoms similar to those of a shock state.
Global Rationale: SIADH is characterized by water retention. The urine output is scant, and the serum is very dilute. These are not the same as symptoms of acute renal failure. SIADH does not produce symptoms similar to those of a shock state.
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