A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?
Nausea and vomiting
Flushed skin
Extreme thirst
Fever
The Correct Answer is A
A. Severe hyponatremia can cause nausea and vomiting due to the disturbance in electrolyte balance and the effects on the central nervous system. It is a common symptom associated with low sodium levels.
B. Flushed skin is not typically associated with hyponatremia. This is more commonly seen in conditions such as fever, inflammation, or allergic reactions.
C. Extreme thirst is more associated with hypernatremia (high sodium levels) rather than hyponatremia. In hyponatremia, the client might have a reduced sensation of thirst or might experience symptoms related to fluid overload.
D. Fever is not a direct symptom of hyponatremia. It can be associated with infections or inflammatory conditions, but it is not a typical manifestation of low sodium levels.
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Related Questions
Correct Answer is D
Explanation
A.While an assistive personnel (AP) might assist with some tasks, they are not typically responsible for providing detailed procedural guidance on medical tasks. The nurse should seek guidance from established protocols and trained professionals.
B.While online resources can be helpful, they might not reflect the specific protocols or best practices of the facility. It's crucial to follow the facility’s policies and procedures to ensure consistency and compliance with organizational standards.
C.While reviewing current literature is beneficial for understanding best practices, the most immediate and relevant source of information is the facility's own policies and procedures. These documents will reflect the specific protocols that the facility requires.
D.Reviewing the facility's policies and procedures manual ensures that the nurse follows the specific guidelines and standards set by the institution. This approach aligns with organizational requirements and helps ensure that the procedure is performed correctly and safely within the context of the facility’s protocols.
Correct Answer is ["56"]
Explanation
To calculate the infusion rate in gtt/min, we need to know the total number of drops (gtt) needed
for the entire infusion and the time it takes to complete the infusion. Given:
- Ringer's lactate: 500 mL
- Infusion time: 3 hours
- Drop factor: 20 gtt/mL
First, let's calculate the total number of drops needed for the entire infusion: Total drops = Volume (mL) × Drop factor (gtt/mL)
Total drops = 500 mL × 20 gtt/mL Total drops = 10,000 gtt
Next, we need to determine the infusion rate in gtt/min. Since the infusion time is given in hours, we need to convert it to minutes:
Infusion time (min) = Infusion time (hours) × 60 min/hour Infusion time (min) = 3 hours × 60 min/hour
Infusion time (min) = 180 min
Now, we can calculate the infusion rate in gtt/min:
Infusion rate (gtt/min) = Total drops / Infusion time (min) Infusion rate (gtt/min) = 10,000 gtt / 180 min
Infusion rate (gtt/min) ≈ 55.6 gtt/min (Rounded off- 56 gtt/min)
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