D Rationale: Thyroid storm is characterized by the following: 1) high fever (hyperpyrexia), >38.5°C (>101.3°F); 2) extreme tachycardia (>130 bpm); 3) exaggerated symptoms of hyperthyroidism with disturbances of a major system—for example, gastrointestinal (weight loss, diarrhea, abdominal pain) or cardiovascular (edema, chest pain, dyspnea, palpitations); and 4) altered neurologic or mental state, which frequently appears as delirium psychosis, somnolence, or coma. Show A Rationale: The nurse should monitor for cold intolerance, lethargy, apathy, memory impairment, emotional changes, slow speech, deep coarse voice, thick dry skin, slow pulse, constipation, weight gain, and absence of menses in a client experiencing myxedema. High fever, extreme tachycardia, and altered mental status are not the symptoms of myxedema. High fever, extreme tachycardia, and altered mental status are the symptoms of thyrotoxicosis or thyroid storm. a,c,e Rationale: The nurse should dress the baby in a stockinette cap, place the baby under isolette care, and estimate the urinary flow by weighing the diaper. Controlling the temperature in high-risk newborns is often difficult; therefore, special care should be taken to keep these babies warm by dressing then in a stockinette cap and recording their temperature on a regular basis. Isolette care simulates the uterine environment as closely as possible, thus maintaining even levels of temperature, humidity, and oxygen for the newborn. The isolette is transparent, so the newborn is visible at all times. The kidneys of preterm infants are not fully developed; hence, they may have difficulty eliminating wastes. The nurse should determine accurate output by weighing the diaper before and after the infant urinates. The diaper's weight difference in grams is approximately equal to the number of milliliters voided. Frequently carrying and handling the baby should be avoided so that the infant can conserve energy. Generally, preterm newborns in the high-risk category are not dressed, so the attending nurse can observe their breathing. b,d Rationale: The signs and symptoms of respiratory distress include tachypnea, periodic breathing, apnea, retractions, nasal flaring, grunting, pallor, and cyanosis. These findings require interventions. The blue hands and feet, apical pulse rate, and minimal response to voices are all appropriate for a newborn who is two hours old. b,c,e RAtionale: Numerous studies have shown that increasing maternal age is a risk factor for infertility and spontaneous abortions, gestational diabetes, chronic hypertension, postpartum hemorrhage, preeclampsia, preterm labor and birth, multiple pregnancy, genetic disorders and chromosomal abnormalities, placenta previa, fetal growth restriction, low Apgar scores, and surgical births What are nursing interventions for SIADH?Nursing Care Plan for SIADH 4. What is used to treat SIADH?Immediate treatment of the symptomatic patient with SIADH includes intravenous furosemide and 3% sodium chloride injection to produce a negative free-water balance. If the underlying cause of SIADH cannot be corrected, the treatment of choice for chronic SIADH is fluid restriction.
What happens when you have SIADH?With SIADH, the urine is very concentrated. Not enough water is excreted and there is too much water in the blood. This dilutes many substances in the blood such as sodium. A low blood sodium level is the most common cause of symptoms of too much ADH.
What is the most common cause of SIADH?The most common causes of SIADH are malignancy, pulmonary disorders, CNS disorders and medication; these are summarised in Table 3. SIADH was originally described by Bartter & Schwartz in two patients with lung carcinoma, who had severe hyponatraemia at presentation (29).
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The nurse is caring for a client who has developed siadh. what intervention is most appropriate?
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