Which assessment finding would alert the nurse to the possibility of worsening hyponatremia?
A client who states, "I am so tired and restless."
A client with elevated blood pressure.
A client complaining of shortness of breath upon exertion
A client with an altered mental status.
The Correct Answer is D
A. Fatigue and restlessness may be early signs but are less specific.
B. Elevated blood pressure is not a primary sign of hyponatremia.
C. Shortness of breath is not directly related to hyponatremia.
D. Altered mental status indicates worsening hyponatremia and possible cerebral edema, requiring urgent attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Metformin is withheld before and after contrast studies to reduce the risk of lactic acidosis if kidney function is impaired.
B. Glipizide does not have this contraindication with contrast media.
C. Insulin therapy is adjusted based on blood glucose levels and is not routinely withheld.
D. Repaglinide is not contraindicated with contrast agents and does not require withholding.
Correct Answer is D
Explanation
A. Sustaining hyperglycemia worsens nerve damage and increases the risk of diabetic complications.
B. Increasing, not decreasing, physical activity helps improve insulin sensitivity and cardiovascular health.
C. Increasing cholesterol and saturated fat intake can contribute to vascular complications and is not recommended.
D. Maintaining optimal blood pressure helps reduce the risk of kidney damage (nephropathy) and other vascular complications in clients with diabetes.
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