The nurse is planning care for a patient with fluid-volume overload and hyponatremia. Which of the following should be included in this patient's plan of care?
1. Restrict fluids.
2. Administer intravenous fluids.
3. Provide Kayexalate.
4. Administer intravenous normal saline with furosemide.
Restrict fluids.
Rationale: The nursing care for a patient with hyponatremia is dependent on the cause. Restriction of fluids to 1,000 mL/day is usually implemented to assist sodium increase and to prevent the sodium level from dropping further due to dilution. The administration of intravenous fluids would be indicated in fluid-volume deficit and hypernatremia. Kayexalate is used in patients with hyperkalemia. The administration of normal saline with furosemide is used to increase calcium secretion.
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