Which of the following are signs and symptoms of hypernatremia? (Select all that apply)
Thirst
Seizures
Dry mucous membranes
Bradycardia
Muscle weakness
Correct Answer : A,B,C,E
(A) Thirst: The body increases thirst to compensate for high sodium levels and prevent dehydration.
(B) Seizures: Severe hypernatremia causes neurological symptoms like seizures due to cerebral dehydration.
(C) Dry Mucous Membranes: Water loss leads to dry oral mucosa.
(E) Muscle Weakness: Electrolyte imbalances affect neuromuscular function, leading to weakness.
(D) Bradycardia: Hypernatremia is more likely to cause tachycardia due to dehydration and hypovolemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Severe Dehydration: Prerenal AKI is caused by reduced blood flow to the kidneys. Dehydration leads to hypovolemia, reducing renal perfusion and causing AKI.
(B) Renal Calculi: Postrenal AKI, not prerenal.
(C) Polycystic Kidney Disease: Chronic kidney disease, not acute.
(D) Glomerulonephritis: Intrarenal AKI, due to direct kidney damage
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"},"G":{"answers":"C"}}
Explanation
Prerenal |
Intrarenal |
Postrenal |
Severe Dehydration Sepsis CHF (Congestive Heart Failure) |
Acute Tubular Necrosis (ATN) Gentamicin (Aminoglycoside antibiotic toxicity) |
Benign Prostatic Hyperplasia (BPH) Renal Calculi (Kidney Stones) |
Severe Dehydration: Prerenal
Decreased blood flow to the kidneys due to low volume.
Sepsis: Prerenal
Hypotension from systemic infection reduces kidney perfusion.
CHF (Congestive Heart Failure): Prerenal
Reduced cardiac output leads to inadequate renal perfusion.
Benign Prostatic Hyperplasia (BPH): Postrenal
Urinary outflow obstruction causes back pressure on the kidneys
Renal Calculi (Kidney Stones): Postrenal
Blockage in the urinary tract prevents urine excretion, leading to kidney damage.
Acute Tubular Necrosis (ATN): Intrarenal
Direct injury to kidney tubules due to ischemia or toxins.
Gentamicin (Aminoglycoside antibiotic toxicity): Intrarenal
Causes nephrotoxicity, damaging renal tubules directly.
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