Author Question: The nurse is planning care for a patient with fluid volume overload and hyponatremia. What should be ... (Read 70 times)

EAugust · **on:** Jun 25, 2018

The nurse is planning care for a patient with fluid volume overload and hyponatremia. What should be included in this patient's plan of care?

1. Restrict fluids.
2. Administer intravenous fluids.
3. Provide Kayexalate.
4. Administer intravenous normal saline with furosemide.

Question 2

A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will mostly likely need precautions implemented for what event?

1. seizure
2. infection
3. neutropenia
4. high-risk fall

ciecieme · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The nursing care for a patient with hyponatremia is dependent on the cause. Restriction of fluids is usually implemented to assist sodium increase and to prevent the sodium level from dropping further due to dilution. The administration of intravenous fluids would be indicated in fluid volume deficit and hypernatremia. Kayexalate is used in patients with hyperkalemia. The administration of normal saline with furosemide is used to increase calcium secretion.

Answer to Question 2

Correct Answer: 1

Severe hyponatremia can lead to seizures. Seizure precautions such as a quiet environment, raised side rails, and having an oral airway at the bedside would be included. Infection or neutropenia precautions and high-risk fall precautions are not specifically indicated for a patient with hyponatremia.