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Multiple Choice
In the context of homeostasis, what is the most appropriate intervention for a client who has developed Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)?
A
Encouraging a high-sodium diet to balance electrolytes
B
Administering hypertonic saline to correct hyponatremia
C
Administering diuretics to increase urine output
D
Increasing fluid intake to promote diuresis
Verified step by step guidance
1
Understand the condition: SIADH is characterized by excessive release of antidiuretic hormone (ADH), leading to water retention and dilutional hyponatremia (low sodium levels in the blood).
Identify the primary problem: The main issue in SIADH is hyponatremia due to water retention, which can lead to symptoms like confusion, seizures, and muscle cramps.
Consider the interventions: Evaluate each option based on its ability to address the hyponatremia and water retention. Encouraging a high-sodium diet may not be effective as it doesn't address the water retention directly.
Evaluate the effectiveness of hypertonic saline: Administering hypertonic saline is a direct approach to increase sodium levels in the blood, thereby correcting hyponatremia. This intervention targets the primary problem in SIADH.
Assess the role of diuretics and fluid intake: Administering diuretics can help increase urine output and reduce water retention, but increasing fluid intake would exacerbate the problem by further diluting sodium levels.