Author Question: A client has a serum sodium level of 129 mEq/L. The nurse should prepare to administer which of the ... (Read 127 times)

Sufayan.ah · **on:** Jun 25, 2018

A client has a serum sodium level of 129 mEq/L. The nurse should prepare to administer which of the following intravenous solutions?

1. Dextrose 5 and Lactated Ringer
2. Dextrose 5 and 0.45 Normal Saline
3. 0.9 Normal Saline
4. Dextrose 5 and 0.9 Normal Saline

Question 2

The nurse is planning care for a client from a different culture. Which of the following should the nurse use when planning care for this client?

1. Plan care using the same approaches as any other client.
2. Communicate to the client that culture cannot be taken into consideration with care.
3. Accept cultural practices that could be negative for the client.
4. Preserve the cultural beliefs and practices of the client.

Brenm · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
Normal saline (0.9) is commonly provided to restore extracellular fluid volume and increase sodium levels. Dextrose 5 and Lactated Ringers, Dextrose 5 and 0.45 Normal Saline, and Dextrose 5 and 0.9 Normal Saline are hypertonic solutions, and they will move water from the cells into the bloodstream.

Answer to Question 2

4
When developing a plan of care for a client from a different culture, the nurse should preserve the cultural beliefs and practices of the client, adapt the plan of care to address the client's beliefs and practices and communicate to the client that the nurse is taking his culture into consideration, and repattern cultural beliefs and practices that could be negative to the client. The nurse should not plan care using the same approaches she uses with any other client.