VERIFIED SOLUTIONS 2024/2025 GRADED A+
A client is prone to hyponatremia. Which factors should the nurse identify that
can precipitate hyponatremia? Select all that apply.
Wound drainage
Diuretic therapy
Gastrointestinal (GI) suction
Parenteral infusion of 0.9% sodium chloride
Inappropriate anti-diuretic hormone (ADH) secretion
Wound Drainage
Diuretic Therapy
GI Suction
Inappropriate Anti-Diuretic Hormone Secretion
Rationale:
Wound drainage can result in hyponatremia from loss of sodium ions. Most diuretics
, interfere with sodium reabsorption in the nephrons and have the side effect of
hyponatremia. Gastrointestinal fluids are rich in sodium ions, which are lost by GI
suction. With the syndrome of inappropriate anti-diuretic hormone (SIADH), high levels
of the anti-diuretic hormone (ADH) are produced, causing the body to retain water
instead of excreting it normally in the urine. Parenteral infusion of 0.9% sodium chloride,
an isotonic solution, should be compatible with body fluids; if given in excess, it may
lead to hypernatremia.
The nurse is assessing the respiratory status of the client at 2-hour intervals as a
nursing safety priority. Which condition is affecting the client?
Hypokalemia
Hyperkalemia
Hyponatremia
Hypernatremia
Hypokalemia
Rationale:
In case of hypokalemia, the nurse should assess the respiratory status of the client
every 2 hours. In case of hyperkalemia, the nurse should notify the healthcare team if
the heart rate falls below 60 beats per minute or T waves become spiked. In case of
hyponatremia, the nurse should be aware of muscle weakness in the client and