A 64-year-old client is brought in to the clinic with thirsty, dry, sticky mucous membranes, decreased urine output, fever, a rough tongue, and lethargy. Serum sodium level is above 145 mEq/L. Should the nurse start salt tablets when caring for this client?
A) Yes, this will correct the sodium deficit.
B) Yes, along with the hypotonic IV.
C) No, start with the sodium chloride IV.
D) No, sodium intake should be restricted.

Question

Quizplus · Accepted Answer

The client is presenting signs and symptoms of hypernatremia, which is an excess of sodium in the blood. The best course of action is to restrict sodium intake and administer hypotonic IV fluids to help dilute the serum sodium level. Salt tablets would only worsen the hypernatremia and should not be administered.

A 64-Year-Old Client Is Brought in to the Clinic with Thirsty