A client's serum sodium level is 150 mg/dL.Based on this data,which interventions should the nurse plan for this client? Select all that apply.
A) Monitor heart rate and rhythm.
B) Elevate the head of the bed.
C) Instruct on a low-sodium diet.
D) Administer diuretics as prescribed.
E) Administer potassium supplement as prescribed.

Question

Quizplus · Accepted Answer

A) For an elevated sodium level, the electrolyte will need to be restricted, in the form of a low-sodium diet, and diuretics provided. Diuretics will remove excess fluid being held in the body because of the extra sodium. Monitoring of heart rate and rhythm would be more appropriate with a potassium imbalance. Elevating the head of the bed would be appropriate if the client were demonstrating signs of fluid volume overload. This is not known at this time and would not be a routine intervention with an elevated sodium level. A potassium imbalance is not associated with a sodium imbalance. More information is needed before this intervention would be planned or implemented.
B) For an elevated sodium level, the electrolyte will need to be restricted, in the form of a low-sodium diet, and diuretics provided. Diuretics will remove excess fluid being held in the body because of the extra sodium. Monitoring of heart rate and rhythm would be more appropriate with a potassium imbalance. Elevating the head of the bed would be appropriate if the client were demonstrating signs of fluid volume overload. This is not known at this time and would not be a routine intervention with an elevated sodium level. A potassium imbalance is not associated with a sodium imbalance. More information is needed before this intervention would be planned or implemented.
C) For an elevated sodium level, the electrolyte will need to be restricted, in the form of a low-sodium diet, and diuretics provided. Diuretics will remove excess fluid being held in the body because of the extra sodium. Monitoring of heart rate and rhythm would be more appropriate with a potassium imbalance. Elevating the head of the bed would be appropriate if the client were demonstrating signs of fluid volume overload. This is not known at this time and would not be a routine intervention with an elevated sodium level. A potassium imbalance is not associated with a sodium imbalance. More information is needed before this intervention would be planned or implemented.
D) For an elevated sodium level, the electrolyte will need to be restricted, in the form of a low-sodium diet, and diuretics provided. Diuretics will remove excess fluid being held in the body because of the extra sodium. Monitoring of heart rate and rhythm would be more appropriate with a potassium imbalance. Elevating the head of the bed would be appropriate if the client were demonstrating signs of fluid volume overload. This is not known at this time and would not be a routine intervention with an elevated sodium level. A potassium imbalance is not associated with a sodium imbalance. More information is needed before this intervention would be planned or implemented.
E) For an elevated sodium level, the electrolyte will need to be restricted, in the form of a low-sodium diet, and diuretics provided. Diuretics will remove excess fluid being held in the body because of the extra sodium. Monitoring of heart rate and rhythm would be more appropriate with a potassium imbalance. Elevating the head of the bed would be appropriate if the client were demonstrating signs of fluid volume overload. This is not known at this time and would not be a routine intervention with an elevated sodium level. A potassium imbalance is not associated with a sodium imbalance. More information is needed before this intervention would be planned or implemented.

A Client's Serum Sodium Level Is 150 Mg/dL