A nurse is assessing a client with a sodium level of 116 mEq/L (135-145 mEq/L). Which finding should the nurse expect for this client to have?

Extreme thirst

Paresthesias

Lethargy

Blood clots

Answer and Explanation

The Correct Answer is C

A) Extreme thirst: While extreme thirst can be associated with electrolyte imbalances, particularly in conditions of dehydration or hypernatremia (elevated sodium levels), a sodium level of 116 mEq/L indicates hyponatremia (low sodium levels). Extreme thirst is less typical for hyponatremia.

B) Paresthesias: Paresthesias, or abnormal sensations like tingling or numbness, are more commonly associated with conditions of low calcium or potassium levels rather than sodium. In hyponatremia, neurological symptoms can occur, but they typically include lethargy or confusion rather than specific paresthesias.

C) Lethargy: Lethargy is a common symptom of severe hyponatremia. Low sodium levels can lead to cerebral edema and neurological disturbances, resulting in symptoms such as lethargy, confusion, and even seizures. This is a direct consequence of the altered osmotic balance affecting brain function.

D) Blood clots: Hyponatremia is not typically associated with an increased risk of blood clots. Blood clots are more related to conditions affecting coagulation factors, which are not directly influenced by sodium levels.

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Correct Answer is D

Explanation

A) Covering the client with a blanket:

Covering the client with a blanket may help manage chills, but it does not address the underlying cause of the symptoms. Stopping the transfusion takes precedence in ensuring patient safety.

B) Assessing the client's skin for a rash:

Assessing for a rash can help determine if an allergic reaction is occurring, but the priority is to stop the transfusion to prevent further complications and address the immediate risk.

C) Notifying the provider:

Notifying the provider is important for reporting and further management, but the immediate action should be stopping the transfusion to prevent potential adverse effects.

D) Stopping the transfusion:

Stopping the transfusion is the priority action as it addresses the immediate risk of a transfusion reaction, such as an allergic reaction or transfusion-related infection. This action helps prevent further complications and ensures the client's safety.

A. Hyperactive bowel sounds B. muscle weakness C. Increased thirst D. Cerebral edema

Correct Answer is B

Explanation

A) Hyperactive bowel sounds:

Hyperactive bowel sounds are more commonly associated with conditions like diarrhea or gastrointestinal obstruction. Hypokalemia, or low potassium levels, typically affects muscle function rather than bowel activity directly.

B) Muscle weakness:

Muscle weakness is a key manifestation of hypokalemia. Potassium is crucial for muscle function, and a deficiency can lead to significant weakness and fatigue, which is a common symptom in individuals with low potassium levels.

C) Increased thirst:

Increased thirst is more commonly associated with dehydration or hypernatremia rather than hypokalemia. While hypokalemia can cause fluid imbalances, increased thirst is not a primary symptom of low potassium levels.

D) Cerebral edema:

Cerebral edema is not typically associated with hypokalemia. It is more commonly related to conditions such as head injury, infection, or other fluid and electrolyte imbalances. Hypokalemia primarily affects muscle function and heart rhythm.

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﻿A nurse is assessing a client with a sodium level of 116 mEq/L (135-145 mEq/L). Which finding should the nurse expect for this client to have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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