The nurse is caring for a child who is suffering from hypotonic hyponatremia with a sodium level below 114 mEq/L. Which of the following symptoms will the nurse anticipate when assessing the child?
Seizures, confusion, and weakness.
Mild tingling and numbness in fingers.
Frequent urination and fluid retention.
Temperature of 96°F orally and drowsiness.
The Correct Answer is A
Choice A rationale
Seizures, confusion, and weakness are symptoms that a nurse should anticipate when assessing a child suffering from hypotonic hyponatremia with a sodium level below 114
mEq/L2. Severe hyponatremia can lead to cerebral edema, resulting in neurologic symptoms such as seizures and confusion.
Choice B rationale
Mild tingling and numbness in fingers are not typically associated with hyponatremia. These symptoms are more commonly associated with conditions affecting the nervous system or with electrolyte imbalances such as hypocalcemia.
Choice C rationale
Frequent urination and fluid retention are not typical symptoms of hyponatremia. They are more commonly associated with conditions such as kidney disease or heart failure.
Choice D rationale
A temperature of 96°F orally and drowsiness are not specific symptoms of hyponatremia. While drowsiness can occur with severe hyponatremia due to cerebral edema, a low body temperature is not typically associated with this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["69"]
Explanation
Step 1 is: To calculate the total body surface area (TBSA) involved in burns, we use the rule of nines or a modified version for children. For a 7-year-old child, the head accounts for 8.5% (front) + 8.5% (back), and each leg accounts for 6.5% (front) + 6.5% (back)3.
Step 2 is: Therefore, the total percentage of TBSA involved is (8.5% + 8.5%) + 2 * (6.5% + 6.5%) = 17% (head) + 26% (each leg) * 2 = 17% + 52% = 69%. So, the calculated percentage of total body surface area involved is 69%.
Correct Answer is D
Explanation
Choice A rationale
Post-traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety. However, a 2-year-old child may not have the cognitive ability to develop PTSD as it requires a certain level of cognitive and psychological development.
Choice B rationale
While separation anxiety is a normal stage of development for infants and toddlers, a 2-year- old child in a burn unit is more likely to be afraid of the pain associated with wound dressing changes rather than being separated from his/her parents.
Choice C rationale
Fear of permanent scarring could be a concern for older children and adults who are more aware of their body image. A 2-year-old child may not have the cognitive ability to understand the concept of permanent scarring.
Choice D rationale
The child is likely worried about the pain associated with the procedure. Pain experienced by patients is likely to increase during procedures such as dressing changes. This is a common and immediate fear for children undergoing medical procedures, especially those associated with pain.
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