Author Question: A nurse is assessing a client with the diagnosis of SIADH. The nurse would anticipate the client's ... (Read 26 times)

ahriuashd · **on:** Jul 23, 2018

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.

Question 2

A client with SIADH is upset about being prescribed a fluid restriction. Which explanation by the nurse is most appropriate?

1. Your IV fluids are providing you with the liquids you need. You should not be thirsty.
2. Your body is retaining too much water. Decreasing your intake, along with the other medicine you are receiving, helps correct the problem.
3. Rinse your mouth with salt water. It will help to decrease your thirst.
4. Your kidney is not working as it should. Decreasing your fluid intake allows your kidney to rest.

kswal303 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 2
Rationale 1: Any intravenous therapy will be a low-volume infusion.
Rationale 2: SAIDH clients already have too much fluid in their intracellular and extracellular spaces. Sodium levels are low because of hemodilution. Restricting fluid helps prevent signs of dilutional hyponatremia.
Rationale 3: Rinsing with salt water does not decrease thirst.
Rationale 4: SIADH is not a renal problem.
Global Rationale: SAIDH clients already have too much fluid in their intracellular and extracellular spaces. Sodium levels are low because of hemodilution. Restricting fluid helps prevent signs of dilutional hyponatremia. Any intravenous therapy will be a low-volume infusion. Rinsing with salt water does not decrease thirst. SIADH is not a renal problem.