A patient with syndrome of inappropriate antidiuretic hormone secretion has low serum sodium and concentrated urine. Which nursing intervention is most appropriate when prescribed?
Correct answer: B. Restrict fluids as ordered
- A. Encourage unlimited oral water
- B. Restrict fluids as ordered
- C. Give potassium-rich foods freely
- D. Place the patient in a warm bath
Explanation
SIADH causes excessive water retention, dilutional hyponatraemia and concentrated urine. Fluid restriction helps reduce further dilution, while unlimited water can worsen the sodium abnormality.
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About Nutrition, Fluids and Electrolytes
Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.
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50 free Nutrition, Fluids and Electrolytes MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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