Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
11. A client with syndrome of inappropriate antidiuretic hormone (SIADH) secretion has a Na+ of 128 mEq/L and is confused. A nurse's primary goal should be to:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
11. A client with syndrome of inappropriate antidiuretic hormone (SIADH) secretion has a Na+ of 128 mEq/L and is confused. A nurse's primary goal should be to:
. Decrease edema by restricting fluid intake.
. Prevent complications of hyponatremia.
. Reorient the client to surroundings.
. Restore fluid and electrolyte balance.
Test-Taking Tip
Only one answer corrects both the fluid and electrolyte problem.
Content Area: Adult Health, Fluid and Electrolyte Imbalances; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Fluid and Electrolyte Imbalances
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because the client needs sodium replacement and fluid restriction. Answer 2 is incorrect because the client already has developed complications. Answer 3 is incorrect because the confusion is due to cerebral edema from the hyponatremia, which needs to be corrected. Physiological intervention is needed now, not psychosocial (orientation). Answer 4 is correct because SIADH causes water retention and dilutional hyponatremia.