The nurse is planning care for a patient with fluid volume overload and hyponatremia. Which intervention should be included in this patient's plan of care?
1. Restrict fluids.
2. Administer intravenous fluids.
3. Provide Kayexalate.
4. Administer intravenous normal saline with furosemide.
1
Rationale 1: The nursing care for a patient with hyponatremia depends on the cause. Restriction of fluids to 1,000 mL/day is usually implemented to assist sodium increase and to prevent the sodium level from dropping further due to dilution.
Rationale 2: The administration of intravenous fluids would be indicated in fluid volume deficit and hypernatremia.
Rationale 3: Kayexalate is used in patients with hyperkalemia.
Rationale 4: Normal saline with furosemide is administered to increase calcium secretion.
You might also like to view...
A nurse is assessing a patient who is suspected of having bronchiectasis. The nurse should consider which of the following potential causes? Select all that apply
A) Pulmonary hypertension B) Airway obstruction C) Pulmonary infections D) Genetic disorders E) Atelectasis
A client is voiding 50 to 100 mL of urine every few hours and reports urgency with voiding. The nurse reports this as an abnormal finding based on the understanding that:
A) the urge to void occurs at 300 to 500 mL in the bladder. B) it is abnormal to urinate every few hours. C) it is normal to void at least 600 to 700 mL with each bladder emptying. D) urgency is always a sign of a bladder infection.
How does the body respond to calcium levels greater than 10.5 mg/dL?
A. When the plasma calcium level reaches 10.5 mg/dL, calcitonin is secreted, which raises the level of circulating calcium by potentiating the effect of PTH on bone. B. When the plasma calcium level reaches 10.5 mg/dL, calcitonin is secreted, which lowers the level of circulating calcium by antagonizing the effect of parathormone (PTH) on bone. C. When the plasma calcium level reaches 10.5 mg/dL, PTH is secreted, which lowers the level of circulating calcium by antagonizing the effect of calcitonin on bone. D. None of these are correct.
When inspecting a patient's posterior wall of the pharynx and tonsils, a nurse documents which finding as abnormal?
a. Both tonsils have a smooth surface. b. Left and right tonsils meet at the midline. c. Left and right tonsils extend beyond the posterior pillars. d. Both tonsils have a glistening appearance.