A patient with syndrome of inappropriate antidiuretic hormone secretion has a sodium level of 118 mEq/L (118 mmol/L), headache and increasing confusion. Which nursing action is the priority?
Correct answer: A. Institute seizure precautions and notify the prescriber
- A. Institute seizure precautions and notify the prescriber
- B. Encourage the patient to drink several litres of water
- C. Offer a low-sodium diet with unrestricted fluids
- D. Ambulate the patient independently every hour
Explanation
Severe hyponatraemia can cause cerebral oedema, confusion and seizures, so safety and seizure precautions are the immediate priority. Extra water would worsen dilutional hyponatraemia, and ambulation is unsafe while the patient is confused.
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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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