A male 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.
Answer C.
To reduce water retention in a client with the SIADH, the nurse should restrict fluids.
Administering fluids by any route would further increase the client’s already heightened fluid load.
Fluid retention, or "edema," is a health problem caused by the leakage of fluid from the blood into the body's tissues, causing the accumulation of water or fluid in multiple areas throughout the body such as the ankle, ankle, hands, legs or arms , And perhaps around the lungs, around the eyes, a disease that is more common in women than in males, regardless of the causes of this condition ranging from simple things to the most serious and chronic diseases.
Symptoms of fluid retention in the body:
Swelling of parts of the body such as "belly", hands and feet, especially the ankles, ankles, legs and around the eyes.
- Feeling some pain in swollen places.
- Body weight disorder and swing between ups and downs.
- Lack of flexibility in the joints and the difficulty of movement.
- Skin elasticity tends to yellow when pressed and does not return quickly to normal.
- A steady increase in weight quickly in a few days or weeks.
Causes of fluid retention in the body:
- Long sitting or standing for hours or long travel without movement leads to the accumulation of fluid in the limbs and collect liquids unusually.
- The menstrual cycle is approaching women, so that fluid accumulates in different parts of the body, such as the abdomen or feet, about a week ahead of schedule.
- Use of some drugs with side effects such as birth control pills, high blood pressure medications, diabetic drugs, arteriosclerosis, some types of anti-inflammatory drugs, and various types of analgesics.
- The high proportion of sodium salts in the body, which result from the frequent intake of salted foods or dry body and lack of drinking water during the day.
- Chronic venous insufficiency or a weakness in the veins valves in the legs.
- Chronic lung diseases.
- The presence of fibroids in the lymphatic system.
- Hypothyroidism, and a chronic disorder of the gland secretions.
- Joint diseases such as acute rheumatoid arthritis, which leads to the collection of fluid around the joint.
- Some serious diseases such as kidney failure or acute kidney inflammation, as well as cirrhosis of the liver that leads to acute liver failure.
- Malnutrition especially vitamin B1 deficiency or protein in the blood.
- Pregnancy period especially from the fifth month, and may sometimes cause the case of septicemia.
Methods of disposal of fluid retention:
- Use diuretics moderately to increase the amount of urination.
- Reduce salted foods such as canned foods and fast food.
- Stay away from drinking alcohol while reducing the consumption of caffeine such as tea and coffee.
- Take care to consume a large amount of water to avoid dry body and increase salts.
- Regular exercise such as walking or running; to prevent the accumulation of fluids in certain areas of the body.
- Lie on the back with the feet on the pillow above the head, especially before sleep and at rest.
- Improve diet by eating vegetables, fruits and milk rich in vitamins B5B6 and calcium, manganese, and magnesium, which limit the problem of water retention in the body.
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.
Answer C.
To reduce water retention in a client with the SIADH, the nurse should restrict fluids.
Administering fluids by any route would further increase the client’s already heightened fluid load.
Fluid retention, or "edema," is a health problem caused by the leakage of fluid from the blood into the body's tissues, causing the accumulation of water or fluid in multiple areas throughout the body such as the ankle, ankle, hands, legs or arms , And perhaps around the lungs, around the eyes, a disease that is more common in women than in males, regardless of the causes of this condition ranging from simple things to the most serious and chronic diseases.
Symptoms of fluid retention in the body:
Swelling of parts of the body such as "belly", hands and feet, especially the ankles, ankles, legs and around the eyes.
- Feeling some pain in swollen places.
- Body weight disorder and swing between ups and downs.
- Lack of flexibility in the joints and the difficulty of movement.
- Skin elasticity tends to yellow when pressed and does not return quickly to normal.
- A steady increase in weight quickly in a few days or weeks.
Causes of fluid retention in the body:
- Long sitting or standing for hours or long travel without movement leads to the accumulation of fluid in the limbs and collect liquids unusually.
- The menstrual cycle is approaching women, so that fluid accumulates in different parts of the body, such as the abdomen or feet, about a week ahead of schedule.
- Use of some drugs with side effects such as birth control pills, high blood pressure medications, diabetic drugs, arteriosclerosis, some types of anti-inflammatory drugs, and various types of analgesics.
- The high proportion of sodium salts in the body, which result from the frequent intake of salted foods or dry body and lack of drinking water during the day.
- Chronic venous insufficiency or a weakness in the veins valves in the legs.
- Chronic lung diseases.
- The presence of fibroids in the lymphatic system.
- Hypothyroidism, and a chronic disorder of the gland secretions.
- Joint diseases such as acute rheumatoid arthritis, which leads to the collection of fluid around the joint.
- Some serious diseases such as kidney failure or acute kidney inflammation, as well as cirrhosis of the liver that leads to acute liver failure.
- Malnutrition especially vitamin B1 deficiency or protein in the blood.
- Pregnancy period especially from the fifth month, and may sometimes cause the case of septicemia.
Methods of disposal of fluid retention:
- Use diuretics moderately to increase the amount of urination.
- Reduce salted foods such as canned foods and fast food.
- Stay away from drinking alcohol while reducing the consumption of caffeine such as tea and coffee.
- Take care to consume a large amount of water to avoid dry body and increase salts.
- Regular exercise such as walking or running; to prevent the accumulation of fluids in certain areas of the body.
- Lie on the back with the feet on the pillow above the head, especially before sleep and at rest.
- Improve diet by eating vegetables, fruits and milk rich in vitamins B5B6 and calcium, manganese, and magnesium, which limit the problem of water retention in the body.
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