A client with Crohn's disease has a serum sodium level of 130 mEq/L (130 mmol/L). Which foods should the practical nurse (PN) encourage the client to eat?

Reference Range:

• Sodium: 136 to 145 mEq/L (136 to 145 mmol/L)

Choice A reason: Administering a PRN prescription for an antiemetic might help with the nausea and vomiting, but it is not the first action to take. The primary concern should be addressing a potential transfusion reaction.
Choice B reason: Flushing the IV tubing with sodium chloride is an important step to clear the line of any remaining blood product, but this should be done after stopping the infusion to prevent further administration of the blood.
Choice C reason: Notifying the healthcare provider is crucial, but the first and most immediate action should be to stop the blood infusion to prevent further reaction.
Choice D reason: Turning off the blood infusion is the first and most critical action to take. Shaking, nausea, and vomiting can be signs of a transfusion reaction, and halting the infusion immediately helps prevent further complications. Following this, the nurse should notify the healthcare provider and take other appropriate measures.

Choice A reason: Initiating contact isolation precautions is not necessary for psoriasis. Psoriasis is a non-infectious and non-contagious chronic skin condition, so isolating the client would not be appropriate. The main focus should be on managing the symptoms and providing the client with strategies to alleviate their discomfort and improve their quality of life.
Choice B reason: Explaining the need to keep the affected areas dry is not suitable for managing psoriasis. In fact, keeping the skin hydrated is crucial in managing psoriasis symptoms. Dry skin can exacerbate the condition, leading to increased flaking, itching, and discomfort. The practical nurse should educate the client on proper skin care, including using moisturizers to keep the skin hydrated and avoiding harsh soaps and hot water.
Choice C reason: Preparing the client for allergen testing is not relevant in the context of psoriasis. Psoriasis is an autoimmune condition, not an allergic reaction, so allergen testing would not provide useful information for managing the condition. The focus should be on identifying and managing triggers that can exacerbate psoriasis, such as stress, infections, and certain medications.
Choice D reason: Reviewing stress reduction strategies with the client is the most appropriate action. Stress is a known trigger for psoriasis flare-ups, and helping the client develop effective stress management techniques can significantly improve their symptoms. Techniques such as mindfulness, relaxation exercises, and counseling can be beneficial in reducing stress and minimizing psoriasis symptoms. Educating the client on the importance of stress management and providing them with practical strategies can empower them to better manage their condition.