When infusing 3% NaCl solutions, which clinical manifestation will the nurse continuously check for?
1. Signs of pulmonary edema
2. Hyponatremia
3. Signs of thirst
4. Signs of depression
Correct Answer: 1
Rationale 1: Solutions of 3% NaCl can cause increased intravascular fluid volume, which can lead to pulmonary edema.
Rationale 2: The client will most likely develop hypernatremia secondary to treatment with 3% NaCl.
Rationale 3: Signs of thirst might occur, but the nurse does not need to monitor continuously for this.
Rationale 4: Treatment with 3% NaCl can be associated with a change in mental status but not with a diagnosis of depression.
Global Rationale: Solutions of 3% NaCl can cause increased intravascular fluid volume, which can lead to pulmonary edema. The client will most likely develop hypernatremia, not hyponatremia, secondary to treatment with 3% NaCl. Signs of thirst might occur, but the nurse does not need to monitor continuously for this. Treatment with 3% NaCl can be associated with a change in mental status but not with a diagnosis of depression.
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