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

Clamping the chest tube can cause increased pressure in the pleural space and is not appropriate without specific indications.

Choice B rationale

Increasing the wall suction may not relieve the burning sensation and could potentially cause harm.

Choice C rationale

Repositioning the client can help alleviate the burning sensation by adjusting the position of the chest tube and the lung.

Choice D rationale

Stripping the chest tube is not recommended as it can increase intrathoracic pressure and cause damage.

A. "You should stop playing basketball, but you can swim instead.”. B. "Avoid triggers that cause an attack.”. C. "Use the peak expiratory flow meter once per week.”. D. "Take cromolyn sodium at the first sign of breathing difficulty.”.

Correct Answer is B

Explanation

Choice A rationale

While swimming can be less likely to trigger asthma attacks than some other sports, children with asthma should not necessarily stop playing basketball if it's something they enjoy. Proper management and understanding triggers are crucial.

Choice B rationale

Avoiding triggers that cause an asthma attack is a fundamental part of asthma management. Triggers can vary from person to person and may include allergens, smoke, cold air, and exercise.

Choice C rationale

The peak expiratory flow meter should be used regularly, typically twice a day, to monitor asthma control, not just once per week. Regular use helps identify worsening symptoms early.

Choice D rationale

Cromolyn sodium is a preventive medication and should be taken regularly as prescribed, not just at the first sign of breathing difficulty.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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