A client who is being cared for in her home has a low serum sodium level of 125 mEqL. To determine the cause of this value, which information should the practical nurse (PN) request from the client?
The percent of processed or canned foods eaten.
The number of vegetable servings consumed daily.
The amount of ice chips and water consumed daily
The amount of salt substitute used in meal preparation
The Correct Answer is C
A. The percent of processed or canned foods eaten: Processed and canned foods are typically high in sodium, which would more likely lead to hypernatremia, not hyponatremia. Therefore, this information does not help determine the cause of a low sodium level.
B. The number of vegetable servings consumed daily: Vegetable intake has minimal impact on serum sodium levels unless accompanied by excessive fluid intake or specific medical conditions. This question does not directly address possible dilutional or sodium-loss causes.
C. The amount of ice chips and water consumed daily: Excessive intake of water or ice chips can lead to dilutional hyponatremia by lowering serum sodium concentration. Assessing fluid consumption is essential to determine if overhydration is contributing to the client’s low sodium level.
D. The amount of salt substitute used in meal preparation: Many salt substitutes contain potassium instead of sodium, which may alter potassium levels but not directly explain hyponatremia. The primary focus should be on identifying fluid-related factors rather than sodium replacement products.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Remind the client that the consent has already been obtained: Simply reminding the client about the signed consent does not address the underlying fear or anxiety, and it may make the client feel dismissed rather than supported.
B. Notify the charge nurse of the client's concerns about surgery: Communicating the client’s fears to the charge nurse ensures that appropriate support, counseling, or additional education can be provided before surgery. Addressing emotional readiness is essential to uphold ethical and patient-centered care.
C. Document that the client has expressed concerns about the surgery: Documentation is important but is not sufficient as an initial intervention. Immediate communication with the healthcare team is necessary to ensure the client receives timely support.
D. Encourage the client to continue with the scheduled surgery: Encouraging the client to proceed without addressing fears may increase anxiety and compromise informed consent. The client’s emotional state should be evaluated and supported before proceeding
Correct Answer is "{\"xRanges\":[54.246018005540165,56.462084487534625],\"yRanges\":[47.52851711026616,50.57034220532319]}"
Explanation
Point A
Rationale:
Pins penetrate the skin and bone, creating a pathway for bacteria. If not monitored, this can lead to local infection or progress to osteomyelitis. Early signs of complication include redness, swelling, warmth, drainage, or pain at the pin site may indicate inflammation or infection. Catching these early prevents systemic spread. Children are especially vulnerable to skin breakdown. Regular assessment helps maintain skin integrity and supports healing. Infection or loosening at the pin site can compromise the stability of the traction, reducing its therapeutic effectiveness.
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