A nurse reads the laboratory report and notes that the client has ...

[rmenurse]

A nurse reads the laboratory report and notes that the client has hyponatremia. What physical assessment should be made?
 
  A) Observe skin color and texture.
  B) Auscultate bowel sounds.
  C) Percuss lung density.
  D) Monitor for GI symptoms.

Question 2

Based on knowledge of total body fluids, a nurse is especially watchful for a fluid volume deficit in an infant. Why would the nurse do this?
 
  A) Infants have less total body fluid and ECF than adults.
  B) Infants have more total body fluid and ECF than adults.
  C) Infants drink less fluid than adults.
  D) Infants lose more fluids through output than adults.

[nguyenhoanhat]

Answer to Question 1

Ans: D
Hyponatremia is an ECF sodium deficit, resulting in osmotic pressure changes as ECF moves into the cells. When this occurs, anorexia, nausea, and vomiting may occur; the nurse should monitor for these symptoms. Skin color and texture, bowel sounds, and lung density are not affected with hypernatremia.

Answer to Question 2

Ans: B
An infant has considerably more total body fluid and ECF than an adult does. Because ECF is more easily lost from the body than ICF, infants are more prone to fluid volume deficits.

[rmenurse]

Excellent

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