SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion) Complex Care: Syndrome of Inappropriate Antidiuretic Hormone Exam Verified 2024

1. A client with SIADH is admitted with hyponatremia which intervention is most important for the nurse to include in the plan of care to protect the client from injury. Administer a hypertonic iv fluid as prescribed, limit oral water intake, assess neurological status every 8hours, initiate seizure precautions. 2. The nurse is performing an admission assessment for a newborn who has asymmetrical buttocks . which assessment results should be the nurse report to the HCP? Ortolani maneuver causing a click at the hip joint, Babinski test that reveals fanning out the toes, plumb line test indicates fetal position curvature, moro test precipitating a startle response. 3. An adult who has recurrent episodes of depression tells the nurse that the prescribed antidepressant needs to be discontinued because the client is feeling better after taking the medication for the past couple of weeks and does not like the side effects. Which response is best for the nurse to provide? Tell the client to discuss the medication side effects with the HCP, inform the client that gradual tapering must be used to discontinue the medication, remind the client that feeling better is the therapeutic effect of the medication, Tell the client that the medication’s side effect will most likely dissipate over time. 4. A mother brings her child who has a history of asthma, to the emergency room. The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic and has labored respirations. Which assessment is most important for the nurse to obtain? Frequency that the child uses a rescue inhaler during the week, type of allergen exposure or trigger for the current episode, type of inhaler the child typically uses on a regular basis, last dose and type of rescue inhaler used by the child. 5. The nurse is teaching the parents of a child newly diagnosed with a latex allergy. Which information by the parents indicates a need for further teaching? A diet of healthy fruits such as bananas and kiwis are best for the child, only foiled balloons will be used for the child’s birthday party, rubber free toys such as wooden building blocks, are good choices for the children, an epinephrine auto injector will be on hand to treat allergic reactions. 6. A client with chronic kidney disease has an AV fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Distended, torturous veins in the left hand, auscultation of a thrill on the left forearm, the left radialpulse is 2+ bounding, assessment of a bruit on the left forearm. 7. A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose? History of IV drug abuse, current diagnosis of hep B, conversion of the client’s PPD test from negative to positive, length of time of the exposure to tuberculosis 8. The nurse instruct an UAP to turn an immobilized older client with an indwelling urinary catheter every 2 hours. What additional action should the nurse instruct the UAP to take each time the client is turned? Empty the urinary drainage bag, assess the breath sounds, offer the client oral fluids, feed the client a snack 9. A client has had several episodes of clear, watery diarrhea that started yesterday. What action should the nurse implement? Check the client’s hemoglobin levels, review the client’s current list of medication, assess the client for the presence of hemorrhoids, administer a prescribed PRN antiemetics. 10. A 15 year old male client was recently diagnosed with type 1 DM. he tells the nurse that he is having difficulty adhering to this meal plan when he is with his friends. what nursing intervention is best for the nurse to implement? Advice him to take his own food with him when going to fast food restaurants with his friends, encourage him to find activities to do with his friends that do not involve eating, Assist him in identifying popular fast foods that are within his meal plan for diabetes, Recommended that he avoid fast food restaurants until he is familiar with his prescribed diet. 11. A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which interventions?SATA Report serum albumin and globulin levels, note signs of swelling and edema, Monitor abdominal grith. 12. The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery. Which menu items should the nurse request for this client? SATA Chicken broth and apple juice 13. An older client arrives to the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client’s vital signs are temp 95.4 F, HR 112, respiration 14, BP 74/37. Which intervention? Maintain strict intake and output, monitor blood glucose levels, keep head of bed raised 45 degrees, assess warmth of extremities 14. The nurse is preparing to administer an iv dose of ciprofloxacin to a client with UTI. Which client data requires the most immediate intervention by the nurse? White blood cell count of 12,000, urine culture positive for MRSA, serum sodium of 145 mEq/L, Serum creatinine of 4.5 mg/dL 15. The nurse is caring for a client who is receiving continuous ambulatory peritonial dialysis and notes that the output flow is 100 mL less than the input flow. Which actions should the nurse implement first? Irrigate the dialysis catheter, check the client’s bp and serum bicarbonate, change the client’s position, continue to monitor intake and output with next exchange