A client has a serum sodium level of 115 mEq/L. The nurse has initiated a slow IV infusion of hypertonic saline solution per IV pump in a large vein. Which other intervention should the nurse implement as a priority?
a. Assess the client for dysphagia.
b. Have on-hand a calcium-channel blocker in case of overdose.
c. Initiate seizure and safety precautions.
d. Start a second IV in case the first one infiltrates.
C
When serum sodium concentrations fall to around 115 mEq/L or below, severe neurologic changes occur, such as confusion, hallucinations, behavioral changes, and seizures. The client may also have postural hypotension. The nurse needs to institute safety and seizure precautions. Dysphagia is not a concern. A calcium-channel blocker would not be used in case of sodium overdose, which should be prevented by the use of the IV pump. All seriously ill clients should have two IV lines, but this client does not need a second line specifically because of the sodium infusion.
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