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NurseDive Free Nursing Practice Question
A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?
A. Nausea and vomiting
Severe hyponatremia can cause nausea and vomiting due to the disturbance in electrolyte balance and the effects on the central nervous system. It is a common symptom associated with low sodium levels.
B. Flushed skin
Flushed skin is not typically associated with hyponatremia. This is more commonly seen in conditions such as fever, inflammation, or allergic reactions.
C. Extreme thirst
Extreme thirst is more associated with hypernatremia (high sodium levels) rather than hyponatremia. In hyponatremia, the client might have a reduced sensation of thirst or might experience symptoms related to fluid overload. .
D. Fever
Fever is not a direct symptom of hyponatremia. It can be associated with infections or inflammatory conditions, but it is not a typical manifestation of low sodium levels.
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Full Explanation
A. Severe hyponatremia can cause nausea and vomiting due to the disturbance in electrolyte balance and the effects on the central nervous system. It is a common symptom associated with low sodium levels.
B. Flushed skin is not typically associated with hyponatremia. This is more commonly seen in conditions such as fever, inflammation, or allergic reactions.
C. Extreme thirst is more associated with hypernatremia (high sodium levels) rather than hyponatremia. In hyponatremia, the client might have a reduced sensation of thirst or might experience symptoms related to fluid overload.
D. Fever is not a direct symptom of hyponatremia. It can be associated with infections or inflammatory conditions, but it is not a typical manifestation of low sodium levels.
Similar Questions
A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?
A. Bedwetting
Bedwetting, also known as nocturnal enuresis, can be a physiological change in older adult clients due to changes in bladder control. It is important to address this issue with sensitivity and provide appropriate management strategies. Older adults may experience feelings of shame or embarrassment due to age-related changes in their physical appearance or functional abilities. It is essential to address these emotional aspects and provide support and reassurance to older adults. However, this is not necessarily a physiological change. Inability to form healthy relationships: While some older adults may struggle with forming new relationships due to various factors, it is not an expected physiological change. The ability to form relationships can vary among individuals based on their social environment, life experiences, and personal characteristics. Overeating is not an expected physiological change in older adults. However, older adults may experience changes in appetite or nutritional needs, which can lead to alterations in eating patterns. It is important to promote healthy eating habits and address any specific dietary concerns related to aging.
B. Feelings of shame
C. Inability to form healthy relationships
D. Overeating
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
A. Rigid abdomen
B. Hypothermia
C. Dehydration
. Diarrhea can lead to excessive fluid loss from the body, resulting in dehydration. Common signs and symptoms of dehydration include increased thirst, dry mouth, decreased urine output, dark-colored urine, fatigue, dizziness, and dry skin. The other findings listed are less likely to be associated with diarrhea alone: Rigid abdomen: While diarrhea can cause abdominal discomfort or cramping, a rigid abdomen is more commonly associated with conditions like peritonitis or a surgical emergency. Hypothermia: Diarrhea itself does not typically cause hypothermia, which refers to abnormally low body temperature. Hypothermia may be associated with severe infections or exposure to cold environments, but it is not directly related to diarrhea. Decreased bowel sounds: Diarrhea can cause increased bowel sounds due to the increased movement of stool through the intestines. Decreased bowel sounds may indicate a more serious condition such as ileus, which is a blockage or disruption of normal bowel function.
D. Decreased bowel sounds
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
A. Generalized urticaria.
Allergic reactions can occur during a blood transfusion, and one of the common signs is the development of hives or a generalized skin rash. Urticaria is characterized by raised, itchy, and reddened skin patches that may appear and disappear over time. The other findings listed are not specific to an allergic transfusion reaction: Distended jugular veins: Distended jugular veins may indicate an increase in central venous pressure, which can occur in conditions like heart failure or fluid overload. It is not directly associated with an allergic transfusion reaction. Blood pressure 184/92 mm Hg: A high blood pressure reading can be an indication of hypertension or an acute hypertensive crisis. It is not typically related to an allergic transfusion reaction. Bilateral flank pain: Bilateral flank pain can have various causes, such as kidney stones, urinary tract infections, or musculoskeletal issues. It is not a specific finding related to an allergic transfusion reaction.
B. Distended jugular veins.
C. Blood pressure 184/92 mm Hg.
D. Bilateral flank pain.