A patient is receiving 3% NaCl solution for correction of hyponatremia.For which of the following will the nurse assess?

Hypokalemia.

Hypovolemia.

Fluid overload.

Hypernatremia.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Hypokalemia is a potential concern with diuretic therapy, but not with hypertonic saline solution (3% NaCl) administration for hyponatremia.

Choice B rationale

Hypovolemia is less likely to occur with hypertonic saline infusion. The main concern is overcorrection leading to fluid overload.

Choice C rationale

Fluid overload is a significant risk when administering hypertonic saline (3% NaCl). Nurses should closely monitor for signs of fluid overload, such as edema, crackles in the lungs, and increased blood pressure.

Choice D rationale

Hypernatremia is a possible complication of hypertonic saline administration, but it is not as immediate a concern as fluid overload. Monitoring for fluid overload should take precedence.

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Correct Answer is A

Explanation

Choice A rationale

A decreased white blood cell count indicates the body's response to infection is improving, showing the effectiveness of the antibiotics.

Choice B rationale

Increased chest pain and shortness of breath would suggest worsening of the condition, not improvement.

Choice C rationale

Adventitious breath sounds and increased cough are signs that pneumonia may be persisting or worsening.

Choice D rationale

Improved appetite and weight gain are positive signs but are not direct indicators of the effectiveness of antibiotic treatment.

A. Chest pain. B. Joint stiffness. C. Frequent urination. D. Blurred vision.

Correct Answer is C

Explanation

Choice A rationale

Chest pain is not typically associated with benign prostatic hyperplasia (BPH). BPH affects the prostate gland, leading to urinary symptoms rather than cardiovascular symptoms.

Choice B rationale

Joint stiffness is not a symptom of BPH. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis.

Choice C rationale

Frequent urination is a common symptom of BPH. The enlarged prostate gland can press against the urethra, causing increased frequency of urination, especially at night.

Choice D rationale

Blurred vision is not a symptom of BPH. Blurred vision can be caused by various conditions affecting the eyes but is not related to the prostate.

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A patient is receiving 3% NaCl solution for correction of hyponatremia.For which of the following will the nurse assess?

Nursing Test Bank

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A patient is receiving 3% NaCl solution for correction of hyponatremia.For which of the following will the nurse assess?