Reorient the client to his room.
<h3>What should be taken care of in patients with pontine myelinolysis and SIADH?</h3>
Review swallow.
It seems to sense that the myelin sheath protecting the nerve cells in the brainstem would be destroyed by osmotic demyelination, also known as central pontine myelinolysis. When a client is being treated for hyponatremia, which is common in SIADH, the most frequent cause is a quick, severe decrease in salt levels. Difficulty swallowing due to brainstem nerve injury should be cared for, but evaluating the client's risk for aspiration is most crucial.
I understand the question you are looking for is this:
After hospitalization for a syndrome of inappropriate antidiuretic hormone (SIADH), a client develops pontine myelinolysis. Which intervention should the nurse implement first?
- Reorient the client to his room
- Place a patch on one eye
- Evaluate the client's ability to swallow
- Perform a range of motion exercises
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