The nurse is caring for a client who is receiving 3% NaCl solution for correction of hyponatremia. During administration of the solution, which of the following assessments is a priority for the nurse to monitor?
A)Lung sounds
B)Urinary output
C)Peripheral pulses
D)Peripheral edema

Question

Quizplus · Accepted Answer

Hypertonic solutions cause water retention, so the client should be monitored for symptoms of fluid excess. Crackles in the lungs may indicate the onset of pulmonary edema and are the most serious of the symptoms of fluid excess listed. Bounding peripheral pulses, peripheral edema, or changes in urine output also are important to monitor when administering hypertonic solutions, but they do not indicate acute respiratory or cardiac decompensation.

The Nurse Is Caring for a Client Who Is Receiving