The nurse caring for a client recently diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) would establish which of the following goals until the cause of the syndrome could be found and treated?
1. Client will maintain strict fluid restrictions.
2. Client will gain 1-2 pounds per week.
3. Client will severely limit sodium intake.
4. Client will elevate the feet to reduce edema.
1
Rationale: SIADH is caused by excessive production of antidiuretic hormone, usually caused by a brain tumor or closed head injury. As a result, the nephron reabsorbs excessive amounts of fluid, overloading the circulating blood volume, diluting the blood, and decreasing osmolarity, resulting in weight gain without edema. Sodium levels are diluted, causing them to appear reduced, and clients often have symptoms of hyponatremia, so salt intake is encouraged.
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The nurse conducts health maintenance visits for an adolescent female. In which situation would the nurse recommend a pelvic examination and Pap smear?
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The nurse uses a diagram to demonstrate how in dehydration the water is drawn into the plasma from the cells by which process?
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