A nurse is collecting data from a client who has hyponatremia. Which of the following findings should the nurse expect?

Muscle cramps

Constipation

Hypertension

Blurred vision

Answer and Explanation

The Correct Answer is A

Hyponatremia refers to a lower-than-normal level of sodium in the blood. Sodium is an essential electrolyte involved in various bodily functions, including maintaining fluid balance and transmitting nerve impulses. When sodium levels are low, it can lead to fluid imbalances, affecting the function of muscles and nerves. Muscle cramps are a common manifestation of hyponatremia and occur due to alterations in muscle excitability and contractility.

Constipation: Constipation is not typically associated with hyponatremia. It can occur due to various reasons, such as dietary factors, lack of physical activity, or other medical conditions, but it is not a direct consequence of low sodium levels.

Hypertension: Hyponatremia is not usually associated with hypertension (high blood pressure). Hypertension can be caused by several factors, including genetics, lifestyle, and certain medical conditions, but it is not directly related to low sodium levels.

Blurred vision: While blurred vision can occur in some medical conditions, such as diabetes or certain eye disorders, it is not a typical finding in hyponatremia. Visual disturbances are not a direct consequence of low sodium levels.

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Correct Answer is A

Explanation

a ."I will take a stool softener to prevent constipation."

Explanation:

The statement that indicates an understanding of the instructions is "I will take a stool softener to prevent constipation."

Explanation for the other options:

b. "I will ask to work the night shift, so I will not be driving in bright sunlight."

This statement is incorrect. The need to work the night shift to avoid bright sunlight does not relate to the discharge instructions for a client postoperative following laser surgery for open-angle glaucoma. The primary focus of discharge teaching for this condition would be related to eye care, medication administration, and follow-up appointments.

c. "I will need to use my eye drops for 1 year."

This statement is incorrect. While eye drops are commonly prescribed for open-angle glaucoma, the duration of their use can vary based on the individual's condition and the healthcare provider's instructions. The client should follow the specific instructions given by their healthcare provider regarding the frequency and duration of eye drop use.

d. "I will need to follow a low-protein diet."

This statement is incorrect. A low-protein diet is not typically part of the discharge instructions for a client postoperative following laser surgery for open-angle glaucoma. The focus of dietary recommendations for open-angle glaucoma is on maintaining a healthy diet and managing other health conditions that may aﬀect intraocular pressure, such as high blood pressure or diabetes.

In summary, the statement that demonstrates an understanding of the discharge instructions for a client postoperative following laser surgery for open-angle glaucoma is "I will take a stool softener to prevent constipation." This indicates the client's awareness of the importance of preventing constipation, which can be a side eﬀect of some medications prescribed after surgery.

A. A client who has a new onset of chest pain B. A client who has a tracheostomy C. A client who is receiving enteral feedings D. A client who has urinary retention

Correct Answer is A

Explanation

The nurse should identify that caring for a client who has a new onset of chest pain is outside the scope of practice for an LPN. This is a complex and potentially life-threatening situation that requires the assessment and intervention of a registered nurse (RN) or other advanced practice provider.

b) Caring for a client who has a tracheostomy is within the scope of practice for an LPN.

c) Caring for a client who is receiving enteral feedings is within the scope of practice for an LPN.

d) Caring for a client who has urinary retention is within the scope of practice for an LPN.

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A nurse is collecting data from a client who has hyponatremia. Which of the following findings should the nurse expect?

Nursing Test Bank

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