A nurse is contributing to the plan of care for a client who has hypernatremia. Which of the following interventions should the nurse recommend to include in the plan?
Restrict fluid intake.
Restrict sodium intake.
Administer a potassium supplement.
Administer a laxative.
The Correct Answer is B
A. Restrict fluid intake: This would not be appropriate for hypernatremia, as fluid intake should generally be increased to help dilute serum sodium levels.
B. Restrict sodium intake: This is correct as reducing sodium intake helps manage hypernatremia by decreasing the amount of sodium in the bloodstream.
C. Administer a potassium supplement: Potassium supplementation is not indicated for hypernatremia and could lead to imbalances.
D. Administer a laxative: A laxative is not relevant for managing hypernatremia and does not address the underlying issue of high sodium levels.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increase the IV flow rate: This is correct as the client’s low blood pressure could indicate hypovolemia. Increasing the IV flow rate can help improve blood volume and blood pressure, addressing a potential cause of hypotension.
B. Cover the client with a warm blanket: While this could help if the client is hypothermic, it does not address the immediate issue of low blood pressure.
C. Compare the reading to the preoperative value: While this can provide context, it does not directly address the current low blood pressure situation.
D. Reassure the client: Reassuring the client is important but does not address the urgent issue of low blood pressure.
Correct Answer is ["A","C","E"]
Explanation
A. Primary health problem: This is correct as it provides critical context for the client's current condition and the reason for the transfer.
B. Admission vital signs from 1 week ago: This is incorrect because recent vital signs are more relevant to the current status of the client; historical data from a week ago is less pertinent.
C. Scheduled times for dressing changes: This is correct as it is important for the receiving unit to know about ongoing care needs related to wound management.
D. Number of family members who have visited: This is incorrect as it does not pertain to the client's medical condition or immediate care needs.
E. Current medication prescriptions: This is correct as it is essential for the new care team to have information on the medications the client is currently taking to ensure continuity of care.
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