A physician prescribes diuretic therapy to a client with nephrotic syndrome. The nurse suspects that the client is hyponatremic based on assessment of which of the following?

A) Paresthesias
B) Tremors
C) Visual hallucination
D) Tachycardia


Ans: D
Feedback:
The nurse should monitor for tachycardia, cold and clammy skin, confusion, and hypotension in the client experiencing hyponatremia. Hyponatremia is excessive loss of sodium and is a common fluid and electrolyte imbalance associated with diuretic therapy. Tremors, visual hallucinations, and paresthesias are the symptoms of hypomagnesemia and not hyponatremia.

Nursing

You might also like to view...

The nurse is concerned that a patient's privacy could be breached according to the Health Insurance Portability and Accountability Act (HIPAA) standards. Which situation would be a breach of the HIPAA standards?

1. Copies of the patient's diagnostic test results are shredded before being discarded. 2. A nurse discusses the patient's condition with a relative without the patient's permission. 3. A physician who is not a caregiver of the patient is restricted from access to the patient's chart. 4. The patient's chart is stored in the secured office of the radiology office while the patient is having a diagnostic examination done.

Nursing

A 23-year-old woman comes to the free clinic stating "I think I have a lump in my breast. Do I have cancer?" The nurse instructs the patient that a diagnosis of breast cancer is confirmed by what?

A) Supervised breast self-examination B) Mammography C) Fine-needle aspiration D) Chest x-ray

Nursing

The nurse would identify which action as a strategy that represents a fiscal responsibility in clinical nursing practice?

a. Begin discharge planning as soon as there is an order. b. Patients should be admitted the evening before a major surgical procedure. c. Provide care delivered by LPNs whenever possible. d. Document the current status of the patient.

Nursing

The client is febrile, and the temperature needs to be reduced. The nurse anticipates that treat-ment will include:

1. An alcohol and water bath 2. Ice packs to the axillae and groin 3. Tepid, plain water sponge down 4. Application of a cooling blanket

Nursing