The nurse is planning care for a client admitted to the unit with dehydration. The client's lab values indicate a low level of serum sodium
Based on the assessment finding, the nurse determines an appropriate nursing diagnosis to be electrolyte imbalance. Which medical condition supports this nursing diagnosis?
A) Isotonic dehydration
B) Hydrostatic pressure
C) Hypotonic dehydration
D) Osmotic pressure
Answer: C
Hypotonic dehydration occurs when fluid loss is characterized by a proportionately greater loss of sodium than water, causing serum sodium to fall below normal levels. Isotonic dehydration occurs when fluid loss is not balanced by intake, and the losses of water and sodium are in proportion. Hydrostatic pressure occurs when extracellular fluid volume excess occurs; the increased fluid volume in the vascular compartment congests the veins. Osmotic pressure pulls fluid into the capillaries, usually in response to the presence of albumin and other plasma proteins made by the liver.
You might also like to view...
The researcher role in restorative care is one that is new for most LPNs. The LPN's role in research includes all of the following behaviors except
a. Designing the research methodology for the project b. Gathering data under the direction of the registered nurse researcher c. Interviewing older persons to determine if they qualify for the research project d. Answering questions asked by the patient and family members
Which is the most common type of opportunistic fungal infection?
A. Cryptococcus neoformans B. Candida albicans C. Pneumocystis jiroveci D. Microsporum species
To promote health of the fetus, the nurse should instruct the woman in the first trimester of pregnancy to:
A) eliminate high-fiber foods, B) eat foods high in folic acid. C) consume saturated fats. D) consume milk products in the last trimester.
K.B. asks, "Why do I need a prescription for vitamins? I can just take something on sale at the
drugstore, right?" How do you respond? What will be an ideal response?