A patient is receiving 3% NaCl solution for correction of hyponatremia.For which of the following will the nurse assess?

Hypokalemia.

Hypovolemia.

Fluid overload.

Hypernatremia.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Hypokalemia is a potential concern with diuretic therapy, but not with hypertonic saline solution (3% NaCl) administration for hyponatremia.

Choice B rationale

Hypovolemia is less likely to occur with hypertonic saline infusion. The main concern is overcorrection leading to fluid overload.

Choice C rationale

Fluid overload is a significant risk when administering hypertonic saline (3% NaCl). Nurses should closely monitor for signs of fluid overload, such as edema, crackles in the lungs, and increased blood pressure.

Choice D rationale

Hypernatremia is a possible complication of hypertonic saline administration, but it is not as immediate a concern as fluid overload. Monitoring for fluid overload should take precedence.

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Correct Answer is C

Explanation

Choice A rationale

Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.

Choice B rationale

Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.

Choice C rationale

Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.

Choice D rationale

Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .

A. Stress and anxiety. B. Nonsteroidal anti-inflammatory drugs (NSAIDs) use. C. Excessive alcohol consumption. D. Helicobacter pylori infection.

Correct Answer is D

Explanation

Choice A rationale

Stress and anxiety can contribute to gastrointestinal issues, but they are not the most likely cause of a duodenal ulcer.

Choice B rationale

Nonsteroidal anti-inflammatory drugs (NSAIDs) can cause gastrointestinal irritation and ulcers, but Helicobacter pylori infection is a more common cause.

Choice C rationale

Excessive alcohol consumption can irritate the stomach lining and contribute to ulcer formation, but Helicobacter pylori infection is more likely to be the primary cause.

Choice D rationale

Helicobacter pylori infection is the most common cause of duodenal ulcers. The bacteria damage the protective lining of the stomach and duodenum, leading to ulcer formation. .

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A patient is receiving 3% NaCl solution for correction of hyponatremia.For which of the following will the nurse assess?

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