A 64-year-old client is brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and is lethargic. Serum sodium level is above 145 mEq/L
Should the nurse start salt tablets when caring for this client? A) Yes, this will correct the sodium deficit.
B) Yes, along with the hypotonic IV.
C) No, start with the sodium chloride IV.
D) No, sodium intake should be restricted.
D
Feedback:
The symptoms and the high level of serum sodium suggest hypernatremia, (excess of sodium). It is necessary to restrict sodium intake. Salt tablets and sodium chloride IV can only worsen this condition but may be required in hyponatremia (sodium deficit). Hypotonic solution IV may be a part of the treatment but not along with the salt tablets.
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