A patient diagnosed with syndrome of inappropriate antidiuretic hormone is scheduled for surgery in a few days. What should the nurse expect to be prescribed for this patient to help manage the symptoms until surgery? (Select all that apply.)
a. Salt restriction
b. Fluid restriction
c. Furosemide (Lasix)
d. Conivaptan (Vaprisol)
e. Hypertonic saline infusion
ANS: B, C, D, E
Symptoms of SIADH can be alleviated by restricting fluids to 800 to 1000 mL per 24 hours. Hypertonic saline fluids may be administered intravenously. A loop diuretic such as furosemide (Lasix) increases water excretion. A vasopressin receptor antagonist such as conivaptan (Vaprisol) may be used to block the action of ADH in the kidney. A. Oral salt may be encouraged to maintain the serum sodium level.
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a. dyspnea c. tachycardia b. amenorrhea d. seizures
Skin integrity and wound healing are compromised in the client who takes blood pressure medications because antihypertensives:
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The first assessment to complete related to the eyes is:
A. Eye lids B. Visual acuity C. Extraocular movements D. Peripheral vision
The nurse determines that the infant is in respiratory arrest from an airway obstruction caused by a foreign object. Which does the nurse implement to clear the infant's airway?
1. Apply several back slaps followed by chest thrusts. 2. Aspirate the foreign object with a Yankauer suction tip. 3. Hold the child upside down and strike the anterior chest. 4. Hold the child on side and perform a blind finger sweep.