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A nurse is collecting data from a client who has a sodium level of 128 mEq/L (136-145 mEq/L) Which of the following manifestations should the nurse expect?

Increased appetite

Hyporeflexia

Constipation

Headache

Answer and Explanation

The Correct Answer is D

A. Increased appetite: Hyponatremia does not typically cause increased appetite.

B. Hyporeflexia: Severe hyponatremia may lead to neurological symptoms, but reflex changes are less common.

C. Constipation: This is unrelated to sodium levels.

D. Headache: Hyponatremia causes cellular swelling, including in the brain, leading to headache, nausea, and neurological symptoms.

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Correct Answer is D

Explanation

A. Vital signs: Vital signs can reflect changes in fluid status, but they are not always sensitive to small shifts in fluid balance and can be affected by many other factors like medications.

B. Skin turgor: Skin turgor can be useful for assessing dehydration but is not a reliable indicator for tracking fluid balance over time, especially in older adults where skin elasticity naturally declines.

C. Daily input and output: Monitoring intake and output is useful, but it is not the most reliable for evaluating overall fluid balance, especially in cases of insensible loss or shifts in third spaces.

D. Daily weights: Weighing the patient daily is the most reliable method for monitoring fluid balance because it directly reflects changes in fluid retention or loss, particularly in acute or chronic conditions like heart failure or dehydration.

Correct Answer is ["300"]

Explanation

Calculation:

Calculate the duration: From 0330 to 0600 is 2.5 hours.

Multiply the rate by the time:

120mL/hr×2.5hours=300mL.

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A nurse is collecting data from a client who has a sodium level of 128 mEq/L (136-145 mEq/L) Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the most reliable method for monitoring improvement when restoring fluid balance?

Correct Answer is D

Explanation

At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["300"]

Explanation

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