QuestionAugust 15, 2025

A client with syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is admitted to the intensive care unit with a serum sodium level of 112mEq/L(112 mmol/L) . Which protocol prescription should the nurse implement first? Obtain serum sodium levels every 4 hours. Provide oral sodium chloride supplements. Monitor fluid restriction and document hourly intake and output. Initiate normal saline IV at 100mL/hour.

A client with syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is admitted to the intensive care unit with a serum sodium level of 112mEq/L(112 mmol/L) . Which protocol prescription should the nurse implement first? Obtain serum sodium levels every 4 hours. Provide oral sodium chloride supplements. Monitor fluid restriction and document hourly intake and output. Initiate normal saline IV at 100mL/hour.
A client with syndrome of inappropriate secretion of
antidiuretic hormone (SIADH) is admitted to the intensive
care unit with a serum sodium level of 112mEq/L(112
mmol/L) . Which protocol prescription should the nurse
implement first?
Obtain serum sodium levels every 4 hours.
Provide oral sodium chloride supplements.
Monitor fluid restriction and document hourly intake and output.
Initiate normal saline IV at
100mL/hour.

Solution
4.5(250 votes)

Answer

Initiate normal saline IV at 100 mL/hour. Explanation 1. Identify the Critical Condition SIADH causes hyponatremia (low sodium levels). A serum sodium level of 112 mEq/L is critically low and requires immediate intervention to prevent complications such as seizures or coma. 2. Prioritize Immediate Intervention The most urgent need is to address the severe hyponatremia. Initiating normal saline IV at 100 mL/hour provides immediate sodium replacement, which is crucial in stabilizing the patient.

Explanation

1. Identify the Critical Condition<br /> SIADH causes hyponatremia (low sodium levels). A serum sodium level of 112 mEq/L is critically low and requires immediate intervention to prevent complications such as seizures or coma.<br /><br />2. Prioritize Immediate Intervention<br /> The most urgent need is to address the severe hyponatremia. Initiating normal saline IV at 100 mL/hour provides immediate sodium replacement, which is crucial in stabilizing the patient.
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