A nurse is caring for a client who has a low serum sodium level. Which of the following actions should the nurse take?
Restrict the client's fluid intake.
Administer a hypertonic saline solution IV.
Encourage the client to eat foods high in potassium.
Monitor the client for signs of hypernatremia.
The Correct Answer is B
Choice A reason:
Restricting the client's fluid intake is not appropriate for a client who has a low serum sodium level. This could worsen the client's condition by increasing the relative concentration of sodium in the blood. Fluid restriction is indicated for clients who have a high serum sodium level.
Choice B reason:
Administering a hypertonic saline solution IV is the correct action for a nurse to take for a client who has a low serum sodium level. This will help increase the serum sodium level by drawing water out of the cells and into the blood. Hypertonic saline solutions are used to treat severe cases of hyponatremia.
Choice C reason:
Encouraging the client to eat foods high in potassium is not relevant for a client who has a low serum sodium level. Potassium is another electrolyte that affects the fluid balance in the body, but it does not directly affect the serum sodium level. Foods high in potassium are recommended for clients who have a low serum potassium level.
Choice D reason:
Monitoring the client for signs of hypernatremia is not necessary for a client who has a low serum sodium level. Hypernatremia is a condition of high serum sodium level, which is opposite to the client's condition. Signs of hypernatremia include thirst, dry mucous membranes, confusion, and seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Taking calcium supplements with milk is not recommended because milk contains phosphorus, which can interfere with calcium absorption.
Choice B reason:
Eating spinach while taking calcium supplements is not a problem, as spinach is a good source of calcium and other nutrients. However, spinach also contains oxalates, which can bind to calcium and reduce its absorption. Therefore, spinach should not be the only source of calcium in the diet.
Choice C reason:
Taking calcium supplements with vitamin D is the best option, as vitamin D helps the body absorb and use calcium more effectively. Vitamin D can be obtained from sunlight exposure, fortified foods, or supplements.
Choice D reason:
Limiting caffeine intake while taking calcium supplements is a good idea, but not the most important one. Caffeine can increase calcium excretion in the urine, but this effect can be offset by consuming adequate amounts of calcium from food or supplements.
Correct Answer is B
Explanation
Choice A reason:
Restricting the client's fluid intake is not appropriate for a client who has a low serum sodium level. This could worsen the client's condition by increasing the relative concentration of sodium in the blood. Fluid restriction is indicated for clients who have a high serum sodium level.
Choice B reason:
Administering a hypertonic saline solution IV is the correct action for a nurse to take for a client who has a low serum sodium level. This will help increase the serum sodium level by drawing water out of the cells and into the blood. Hypertonic saline solutions are used to treat severe cases of hyponatremia.
Choice C reason:
Encouraging the client to eat foods high in potassium is not relevant for a client who has a low serum sodium level. Potassium is another electrolyte that affects the fluid balance in the body, but it does not directly affect the serum sodium level. Foods high in potassium are recommended for clients who have a low serum potassium level.
Choice D reason:
Monitoring the client for signs of hypernatremia is not necessary for a client who has a low serum sodium level. Hypernatremia is a condition of high serum sodium level, which is opposite to the client's condition. Signs of hypernatremia include thirst, dry mucous membranes, confusion, and seizures.
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