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 C

Explanation

Choice A rationale

Jaundice is not commonly associated with Crohn's disease; it is more related to liver or gallbladder issues.

Choice B rationale

Hypertension is not a common symptom of Crohn's disease. It is generally associated with other conditions such as cardiovascular disease.

Choice C rationale

Abdominal pain and cramping are hallmark symptoms of Crohn's disease due to inflammation in the gastrointestinal tract.

Choice D rationale

Weight loss, rather than weight gain, is typically associated with Crohn's disease due to malabsorption and chronic inflammation.

A. Attach a wrist band indicating the client's allergy. B. Notify the dietary department of the client's allergy. C. Ask the client if any other foods cause such a reaction. D. Notify the provider of the client's allergy.

Correct Answer is D

Explanation

Choice A rationale

Attaching a wristband indicating the client's allergy is a good practice, but it is not the priority action. The priority is to notify the provider to avoid any potential allergic reactions during the procedure.

Choice B rationale

Notifying the dietary department is not relevant in this context. The priority is to ensure the provider is aware of the allergy to prevent an adverse reaction during the cardiac catheterization.

Choice C rationale

Asking the client about other food allergies is important, but the priority action is to notify the provider immediately to ensure the safety of the client during the procedure.

Choice D rationale

Notifying the provider of the client's allergy is the priority action. This ensures that the provider can take necessary precautions to prevent an allergic reaction during the cardiac catheterization procedure.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with regional enteritis (Crohn's disease). Which of the following symptoms should the nurse anticipate during assessment?

Correct Answer is C

Explanation

The nurse asks a client who is about to have a cardiac catheterization about any allergies.The client states, "I always get a rash when I eat shellfish.”. Which of the following is the priority nursing action?

Correct Answer is D

Explanation

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