In reviewing the chart of a 15-year-old client who suffered a head trauma in a sports accident, the nurse notes a serum potassium of 2.8 mEq/L and a serum sodium of 122 mEq/L. What addition to the nursing care plan would be most appropriate for the nurse to make based on this information?
A)Strict intake and output (I&O) each shift.
B)Passive range of motion exercises each shift
C)Six-feeding, small-portion diet
D)Assessment of flank region every 12 hours for kidney tenderness

Question

Quizplus · Accepted Answer

The low serum potassium and sodium levels may indicate electrolyte imbalances, which can affect fluid balance and require close monitoring of intake and output to ensure adequate hydration and electrolyte balance. Option B is not relevant to this specific issue. Option C may be appropriate for other reasons but is not directly related to the electrolyte imbalances. Option D is not relevant to this issue.

In Reviewing the Chart of a 15-Year-Old Client Who Suffered