Case study: Client with SIADH after head injury. Based on the current assessment, what is the nurse's priority action?

Question

Accepted Answer

A. implement seizure precautions and follow the fluid-restriction plan while escalating the change in status — The priority action is to implement seizure precautions and follow the fluid-restriction plan while escalating the change in status because this addresses the immediate risk in the case.

Answer

B. document the finding as expected and reassess in 1 hour

Answer

C. complete routine care before notifying the provider

Answer

D. encourage the client to rest and increase oral intake