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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[42.16410928143713,54.140157185628745],\"yRanges\":[80.16085790884719,90.88471849865951]}"
Explanation
A. Ascending colon area (right lower quadrant): This location corresponds to an ascending colostomy or ileostomy, not a sigmoid colostomy. The stoma here would produce more liquid stool due to its proximity to the small intestine.
B. Transverse colon area (upper abdomen): A stoma in this area represents a transverse colostomy, which produces semi-formed stool. This is not consistent with a sigmoid colostomy location.
C. Descending colon area (left upper quadrant): While descending colon colostomies are in the left side, they are higher up and produce more formed stool, but the typical sigmoid colostomy is lower in the left lower quadrant.
D. Sigmoid colon area (left lower quadrant): The sigmoid colon is located in the left lower quadrant of the abdomen. A sigmoid colostomy is placed here, producing more formed stool and allowing easier appliance management. This is the expected site for a stoma following sigmoid colostomy surgery.
Correct Answer is B
Explanation
A. Coffee: Coffee is a stimulant and can increase gastrointestinal motility, which may worsen diarrhea. It does not help restore the balance of gut flora disrupted by antibiotics and is not recommended.
B. Yogurt: Yogurt contains probiotics, which help replenish healthy intestinal bacteria that can be reduced during antibiotic therapy. Consuming yogurt can help restore gut flora balance and reduce the likelihood or severity of antibiotic-associated diarrhea.
C. Apple juice: Apple juice is high in sugar and can have an osmotic effect in the intestines, potentially worsening diarrhea. It does not contribute to restoring normal gut flora and is not recommended to prevent antibiotic-related diarrhea.
D. Ice cream: Ice cream contains lactose, which can be difficult for some clients to digest, especially when gut flora is disrupted by antibiotics. This may exacerbate diarrhea rather than reduce it, making it inappropriate.
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