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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Reduced bronchospasm is a beneficial outcome for COPD, but it is not the primary outcome related to gas exchange.
Choice B rationale
Decreased breathlessness is a positive outcome for COPD, but it is not directly related to gas exchange.
Choice C rationale
Increased carbon dioxide retention is a negative outcome and indicates worsening of gas exchange.
Choice D rationale
Improved oxygen saturation levels are a direct and measurable outcome of effective gas exchange and indicate better oxygenation in COPD patients.
Correct Answer is C
Explanation
Choice A rationale
Administering insulin when the breakfast tray arrives may not provide sufficient time for the insulin to take effect before the client begins eating, potentially leading to hyperglycemia.
Choice B rationale
Administering insulin at 07: is too early and may result in hypoglycemia before the client eats breakfast.
Choice C rationale
Administering insulin at 07: allows sufficient time for the insulin to take effect before the client eats breakfast, helping to maintain appropriate blood glucose levels.
Choice D rationale
Administering insulin 30 minutes after breakfast is too late and could result in hyperglycemia since the client would have already consumed carbohydrates.
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