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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 C

Explanation

A. Have the laboratory draw a blood sample for an erythrocyte sedimentation rate (ESR): ESR measures inflammation and is unrelated to hyperkalemia.

B. Restrict fluid intake: Fluid restriction is not appropriate for hyperkalemia unless specifically related to fluid overload or renal failure.

C. Obtain a 12-lead ECG: Hyperkalemia can cause life-threatening cardiac dysrhythmias such as peaked T waves, widened QRS complexes, or asystole. ECG monitoring is essential.

D. Administer potassium gluconate 40 mEq orally: This would worsen hyperkalemia and is contraindicated.

A. Hypertension B. Increased thirst C. Muscle tetany D. Diaphoresis

Correct Answer is C

Explanation

A. Hypertension: Low calcium levels are not typically associated with hypertension. In fact, hypocalcemia can lead to a variety of neurological symptoms such as muscle spasms and tetany.

B. Increased thirst: Increased thirst is not a direct symptom of hypocalcemia. It may be seen in diabetes or dehydration but not typically in hypocalcemia.

C. Muscle tetany: Hypocalcemia is a common result of thyroidectomy, especially if the parathyroid glands were affected during surgery. This condition can lead to muscle tetany, which involves involuntary muscle contractions or spasms.

D. Diaphoresis: Diaphoresis is not commonly associated with hypocalcemia. Sweating is more related to stress, pain, or fever.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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