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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Social worker: Social workers can assist clients who have difficulty with transportation by coordinating community resources, arranging rides, or providing access to transportation services. This ensures the client can safely attend follow-up appointments without compromising independence or safety.
B. Primary care provider: The primary care provider manages overall health and follow-up care but does not typically coordinate transportation services for clients.
C. Physical therapist: Physical therapists focus on improving mobility, strength, and balance, which may indirectly support functional independence, but they do not coordinate transportation.
D. Occupational therapist: Occupational therapists help clients maintain or regain functional skills for daily activities, including driving skills, but arranging transportation to appointments falls under social work support rather than therapy interventions.
Correct Answer is B
Explanation
A. Hematuria: Hematuria is not a typical adverse effect of methylergonovine. This medication primarily affects uterine smooth muscle and vascular tone, so urinary complications are uncommon.
B. Elevated blood pressure: Methylergonovine is a potent vasoconstrictor, which can lead to hypertension. Monitoring blood pressure is essential because severe elevations can increase the risk of stroke or cardiac complications, especially in clients with preexisting hypertension.
C. Uterine relaxation: Methylergonovine promotes uterine contraction, not relaxation. Uterine relaxation would be contrary to the intended therapeutic effect of preventing or controlling postpartum hemorrhage.
D. Diarrhea: Gastrointestinal upset, including nausea, vomiting, or diarrhea, can occur but is less common and typically mild. Blood pressure changes are the primary adverse effect requiring close monitoring.
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