When a client's serum sodium level is 120 mEq/L, the priority ...

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When a client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system?
 
  1. Neurological
  2. Gastrointestinal
  3. Pulmonary
  4. Hepatic

Question 2

When an excess of body fluid exists in the intravascular compartment, all of the following signs can be expected except:
 
  1. Rales
  2. A bounding pulse
  3. Engorged peripheral veins
  4. An elevated hematocrit level

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Answer to Question 1

ANS: 1
Because sodium is necessary for nerve impulse transmission, the priority nursing assessment with hyponatremia is the neurological system.

Answer to Question 2

ANS: 4
An elevated hematocrit level would be expected with a deficit of body fluid in the intravascular compartment. When an excess of body fluid exists in the intravascular compartment, a decreased hematocrit would be expected. Crackles (in lungs) are consistent findings with fluid volume ex-cess. An assessment finding associated with fluid volume excess is a bounding pulse. Engorged peripheral veins may be seen with fluid volume excess.