A patient with syndrome of inappropriate antidiuretic hormone secretion has a serum sodium level of 124 mEq/L (124 mmol/L). Which intervention should the nurse expect?
Correct answer: B. Restrict fluids and monitor neurological status
- A. Encourage several litres of oral water daily
- B. Restrict fluids and monitor neurological status
- C. Administer hypotonic intravenous fluid rapidly
- D. Offer unrestricted fluids with a low-salt diet
Explanation
Excess antidiuretic hormone causes water retention and dilutional hyponatraemia, so fluid restriction and neurological assessment are important. Worsening hyponatraemia can cause confusion, seizures and reduced level of consciousness.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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