A client with schizophrenia has been found to have drunk copious quantities of water while completing his morning hygiene in the bathroom and he is showing behavioral signs or intoxication
What action should the nurse prioritize in the immediate care of this client?
A) Monitoring of oxygen levels by continuous pulse oximetry
B) Mental status assessment and administration of a PRN dose of antipsychotics
C) Assessment of sodium levels and administration of IV normal saline
D) Blood pressure monitoring and administration of a KCl-enriched IV solution
Ans: C
Feedback:
Treatment of severe water intoxication involves the administration of furosemide (Lasix) and intravenous (IV) normal saline. Vital signs should be measured and monitored but the immediate priority is restoring fluid and sodium balance. Antipsychotics will not resolve water intoxication and the accompanying sodium imbalance.
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