Matthews Gordon
08/11/2023 · Junior High School
A patient with SIADH has extremely low sodium levels and has experienced a seizure. The practitioner ordered an infusion of hypertonic \( 3 \% \) sodium chloride solution. Which tervention should the nurse undertake? A. Reinforce the patient's fluid restriction. B. Rotate peripheral IV sites. C. Prepare for intubation. D. Monitor serum sodium levels frequently.
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In the case of a patient with SIADH (Syndrome of Inappropriate Antidiuretic Hormone secretion) who has extremely low sodium levels and has experienced a seizure, the administration of hypertonic 3% sodium chloride solution is a critical intervention to correct the hyponatremia.
Among the options provided, the most appropriate intervention for the nurse to undertake is:
**D. Monitor serum sodium levels frequently.**
This is essential because the administration of hypertonic saline can lead to rapid changes in serum sodium levels, and it is important to monitor these levels closely to avoid complications such as osmotic demyelination syndrome.
While reinforcing fluid restriction (A) is important in the management of SIADH, it is not the immediate priority in this acute situation. Rotating peripheral IV sites (B) is a good practice but not specific to the management of this condition. Preparing for intubation (C) is not indicated unless the patient's airway is compromised, which is not mentioned in the scenario.
Therefore, the best answer is **D. Monitor serum sodium levels frequently.**
Quick Answer
The nurse should **monitor serum sodium levels frequently** after administering hypertonic sodium chloride solution.
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