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.

Nursing

You might also like to view...

Bowen's approach to family therapy focuses on differentiation of members. A therapist using this

approach would negotiate with the family to arrive at the outcome criteria. The family will a. restructure dysfunctional triangles. b. use straight messages without manipulation. c. achieve greater individuation of members. d. assess itself in terms of life cycle stage and multicultural issues.

Nursing

A manipulative patient states, "You are the only nurse who understands about my pain. Can't you give me an extra dose of pain medication?" The nurse should:

a. be matter-of-fact and explain that dosage schedules are by physician's orders. b. ignore the request. c. point out that such manipulative behavior is ineffective. d. give the extra dose.

Nursing

The nurse conducts health maintenance visits for an adolescent female. In which situation would the nurse recommend a pelvic examination and Pap smear?

1) A 14-year-old who denies sexual activity. 2) A 15-year-old who became sexually active 1 year ago. 3) An 18-year-old who became sexually active 2 years ago. 4) A 17-year-old who became sexually active at the age of 14 years.

Nursing

The nurse uses a diagram to demonstrate how in dehydration the water is drawn into the plasma from the cells by which process?

a. Distillation b. Diffusion c. Filtration d. Osmosis

Nursing