Physiological Adaptation Q 9

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A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

  

     A. Infusing I.V. fluids rapidly as ordered.

     B. Encouraging increased oral intake.

     C. Restricting fluids.

     D. Administering glucose-containing I.V. fluids as ordered.

    

    

Correct Answer: C. Restricting fluids.

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To reduce water retention in a client with SIADH, the nurse should restrict fluids.

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Option A: Rapid infusion of IV fluids would further increase the client’s overload.

Option B: The client should be instructed to restrict his fluid intake. It is also important to restrict sodium intake because higher correction rates have been associated with osmotic demyelination.

Option D: Administering fluids by any route would further increase the client’s already heightened fluid load.

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