The nurse coming on duty gets a laboratory report on an assigned child, and the serum sodium level is reported as 133 milliequivalents per liter (mEq/L). The nurse would expect this client with a 133 mEq/L sodium level to:
a. be experiencing headache, muscle weakness, and abdominal cramps
b. have flushed skin, an elevated temperature, and intense thirst
c. have a slow pulse rate, decreased respirations, and elevated blood pressure
d. appear perfectly normal because this is a normal serum sodium level for a child
A
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A Correct: The nurse would expect this client with a 133 mEq/L sodium level to be experiencing headache, muscle weakness, and abdominal cramps. Normal sodium level for a child is 135-148 mEq/L so this client has hyponatremia or low serum sodium level.
B Incorrect: Flushed skin, an elevated temperature, and intense thirst are symptoms of hypernatremia or increased serum sodium level.
C Incorrect: The nurse would not expect this client with a 133 mEq/L sodium level to have a slow pulse rate, decreased respirations, and elevated blood pressure.
D Incorrect: The nurse would not expect this client with a 133 mEq/L sodium level to appear perfectly normal because this is a normal serum sodium level for a child. This is a low serum sodium level.
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