Author Question: The nurse determines that additional instruction is needed for a 60-year-old patient with chronic ... (Read 106 times)

lb_gilbert · **on:** Jun 25, 2018

The nurse determines that additional instruction is needed for a 60-year-old patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient says which of the following?

a. I need to shop for foods low in sodium and avoid adding salt to food.
b. I should weigh myself daily and report any sudden weight loss or gain.
c. I need to limit my fluid intake to no more than 1 quart of liquids a day.
d. I will eat foods high in potassium because diuretics cause potassium loss.

Question 2

The nurse determines that demeclocycline (Declomycin) is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patient's

a. weight has increased.
b. urinary output is increased.
c. peripheral edema is decreased.
d. urine specific gravity is increased.

Ahnyah · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Patients with SIADH are at risk for hyponatremia, and a sodium supplement may be prescribed. The other patient statements are correct and indicate successful teaching has occurred.

Answer to Question 2

ANS: B
Demeclocycline blocks the action of antidiuretic hormone (ADH) on the renal tubules and increases urine output. An increase in weight or an increase in urine specific gravity indicates that the SIADH is not corrected. Peripheral edema does not occur with SIADH. A sudden weight gain without edema is a common clinical manifestation of this disorder.