A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

Encourage eating potassium-rich foods.

Restrict sodium in the diet

Decrease water intake

Monitor vital signs

Monitor intake and output.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale: Hypernatremia involves elevated sodium levels, so encouraging potassium-rich foods is not directly related to addressing hypernatremia.

Choice B rationale: Restricting sodium in the diet is appropriate to help manage and reduce hypernatremia. This can prevent further complications of hypernatremia, such as dehydration, confusion, seizures, and coma.

Choice C rationale: This is not an appropriate intervention for hypernatremia, as water intake can help dilute the sodium levels and restore the fluid balance in the body.

Decreasing water intake can worsen the hypernatremia and cause dehydration. Choice D rationale: This is an appropriate intervention for hypernatremia, as high sodium levels can affect the fluid balance and blood pressure in the body. Monitoring

vital signs can help detect any changes or abnormalities that may indicate worsening of the condition or need for further treatment.

Choice E rationale: Monitoring intake and output helps assess fluid balance and response to interventions for hypernatremia.

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Correct Answer is C

Explanation

Choice A rationale: Medication concentration being half of what it was when administered is not the definition of the trough level.

Choice B rationale: Medication becoming toxic is not the definition of the trough level. Choice C rationale: Blood serum drug concentration being lowest is the correct definition of the trough level.

Choice D rationale: Highest effective drug concentration in the blood being reached is not the definition of the trough level.

A. Norming B. Storming C. Forming D. Performing

Correct Answer is D

Explanation

Choice A rationale: Norming is characterized by the development of group cohesion and establishment of norms, not necessarily high-level problem-solving.

Choice B rationale: Storming is marked by conflict and tension within the group, not optimal problem-solving.

Choice C rationale: Forming is the initial stage where members get to know each other; it does not represent a highly functioning team.

Choice D rationale: Performing is the stage where the group is functioning at its highest level, demonstrating effective problem-solving and productivity.

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A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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