A geriatric resident in a nursing home has persistent hyponatremia with a serum sodium level of 132 mEq/L and urine osmolality of 300 mmol/kg.Which interventions should the nurse include in the plan of care for this patient? Select all that apply.
A)Encourage water intake to at least 1,000 mL daily.
B)Maintain strict intake and output.
C)Observe for decreased level of consciousness.
D)Provide low-sodium diet.
E)Restrict fluid intake to 600 mL per day.
F)Weigh daily.

Question

Quizplus · Accepted Answer

The patient has hyponatremia, so fluid restriction (E) is necessary to prevent further dilution of sodium. Monitoring intake and output (B) helps assess fluid balance. Observing for decreased consciousness (C) is important as hyponatremia can affect neurological status. Daily weighing (F) helps monitor fluid retention or loss.

A Geriatric Resident in a Nursing Home Has Persistent Hyponatremia