Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Pharmacological and Parenteral TherapiesNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 15-1Question 7Type: MCSAThe nurse is planning care for a patient with fluid volume overload and hyponatremia. Which intervention 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.Correct Answer: Rationale 1: The nursing care for a patient with hyponatremia depends on the cause. Restriction of fluids to 1,000 mL/day is usually implemented to assist sodium increase and to prevent the sodium level from dropping further due to dilution.Rationale 2: The administration of intravenous fluids would be indicated in fluid volume deficit and hypernatremia.Rationale 3: Kayexalate is used in patients with hyperkalemia.Rationale 4: Normal saline with furosemide is administered to increase calcium secretion.
Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: PlanningLearning Outcome: 15-2Question 8Type: MCSA