A nurse is assessing a client with a sodium level of 116 mEq/L (135-145 mEq/L). Which finding should the nurse expect for this client to have?

A) Extreme thirst: While extreme thirst can be associated with electrolyte imbalances, particularly in conditions of dehydration or hypernatremia (elevated sodium levels), a sodium level of 116 mEq/L indicates hyponatremia (low sodium levels). Extreme thirst is less typical for hyponatremia.

B) Paresthesias: Paresthesias, or abnormal sensations like tingling or numbness, are more commonly associated with conditions of low calcium or potassium levels rather than sodium. In hyponatremia, neurological symptoms can occur, but they typically include lethargy or confusion rather than specific paresthesias.

C) Lethargy: Lethargy is a common symptom of severe hyponatremia. Low sodium levels can lead to cerebral edema and neurological disturbances, resulting in symptoms such as lethargy, confusion, and even seizures. This is a direct consequence of the altered osmotic balance affecting brain function.

D) Blood clots: Hyponatremia is not typically associated with an increased risk of blood clots. Blood clots are more related to conditions affecting coagulation factors, which are not directly influenced by sodium levels.

A) Mashed potatoes:

Mashed potatoes are an appropriate choice for a soft diet as they are easy to chew and swallow. A soft diet typically includes foods that are tender, moist, and easy to digest, which helps in minimizing difficulty while eating.

B) High-fiber cereals:

High-fiber cereals are not suitable for a soft diet. They can be hard and difficult to chew, and the high fiber content might irritate the digestive tract, making them less ideal for individuals on a soft diet.

C) Fruit with the skin:

Fruits with the skin can be difficult to chew and digest, especially for those on a soft diet. The skin of fruits can be tough and may not be appropriate for someone needing a diet with soft, easily manageable foods.

D) Raw vegetables:

Raw vegetables are typically hard and require thorough chewing, which makes them unsuitable for a soft diet. Soft diets require foods that are tender and easy to chew, so raw vegetables do not meet these criteria.