A diagnosis of cerebral salt wasting is made for a patient who recently experienced a subarachnoid hemorrhage (SAH) and is hyponatremic
The nurse recognizes the importance of which interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Strictly monitoring intake and output
2. Monitoring hypertonic IV fluid therapy
3. Securing a serum sodium level every 6 hours
4. Restricting the patient's fluids to 200 mL daily
5. Administering oral salt supplements
1,2,3,5
Rationale 1: It is important for the patient's fluid intake and output to be carefully monitored.
Rationale 2: Poor management of hypertonic fluid intake can result in cardiac overload problems.
Rationale 3: It is very important for the patient's serum sodium levels to be monitored frequently, every 6 hours if the patient is receiving hypertonic saline.
Rationale 4: Fluid restriction in this setting is absolutely contraindicated.
Rationale 5: Generally, the treatment for hyponatremia in SAH is hypertonic saline with oral salt supplements, if possible.
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