A nurse is collecting data from a client who has hyponatremia. Which of the following findings should the nurse expect?

Hypertension

Blurred vision

Constipation

Muscle cramps

Answer and Explanation

The Correct Answer is D

A. Hypertension: Hyponatremia typically does not cause high blood pressure. In fact, low sodium levels can lead to fluid shifts and hypotension in severe cases, rather than hypertension. Monitoring blood pressure is important, but hypertension is not an expected finding of hyponatremia.

B. Blurred vision: Blurred vision is not a classic symptom of hyponatremia. While severe electrolyte imbalances can affect neurological function, visual changes are more commonly associated with hypernatremia or other conditions affecting the eyes.

C. Constipation: Constipation is not directly linked to low sodium levels. Hyponatremia primarily affects neuromuscular and neurological function, rather than gastrointestinal motility.

D. Muscle cramps: Muscle cramps are a common manifestation of hyponatremia due to the disruption of sodium’s role in neuromuscular excitability. Low sodium levels can cause involuntary muscle contractions, weakness, and twitching.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "I will give this medication to my child once daily in the evening.": Montelukast is a leukotriene receptor antagonist taken once daily, usually in the evening, to prevent asthma symptoms. Administering it at the correct time supports consistent therapeutic levels and effective long-term asthma control.

B. "I will give this medication to my child every 2 hours if he is wheezing": Montelukast is not a rescue medication and should not be administered for acute asthma attacks. Using it every 2 hours for wheezing is inappropriate and could delay effective emergency treatment.

C. "It takes 2 months of scheduled use before this medication is effective.": Montelukast generally begins working within a few days to weeks, not two months. Delaying assessment of effectiveness for two months could lead to uncontrolled asthma symptoms.

D. "I can stop giving my child this medication if he is taking a steroid.": Montelukast can be used alongside inhaled or oral steroids to manage asthma and should not be discontinued without consulting the healthcare provider. Stopping it abruptly may reduce asthma control.

A. A nurse from another unit after a client commits suicide B. A client's employer who is concerned about safety due to substance use C. A client's partner after the client reports intimate partner abuse D. A social worker who is assigned to an involuntarily committed school-age client

Correct Answer is D

Explanation

A. A nurse from another unit after a client commits suicide: Sharing confidential client information with staff not directly involved in the client’s care is a violation of privacy, even in the event of suicide. Only those providing care or requiring information for safety or treatment purposes should have access.

B. A client's employer who is concerned about safety due to substance use: Client health information cannot be shared with an employer without the client’s written consent, as this breaches confidentiality and HIPAA regulations. Employer concerns do not override the client’s right to privacy.

C. A client's partner after the client reports intimate partner abuse: Confidentiality must be maintained even in cases of abuse. Information should not be disclosed to a partner, as this could endanger the client further. Disclosure requires the client’s consent or legal mandate.

D. A social worker who is assigned to an involuntarily committed school-age client: Sharing relevant medical information with the social worker who is part of the client’s care team is appropriate. This ensures continuity of care, safety, and coordination of services while maintaining confidentiality within the care team.

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A nurse is collecting data from a client who has hyponatremia. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

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