Electrolytes Question #36


A client has a hematocrit of 56% and a serum sodium level of 152 mEq/L. For which health problem should the nurse expect this client to receive treatment?


  1. Overhydration.
    • Rationale:
  2. Anemia.
    • Rationale:
  3. Dehydration.
    • Rationale:
  4. Renal failure.
    • Rationale:



The correct answer is C. In dehydration, the serum sodium level is elevated. The amount of body fluids are inadequate which can lead to an elevated hematocrit level. The serum sodium would be low in overhydration. The hematocrit would be low in anemia. The potassium level would be elevated in renal failure.

NCLEX TIP: Using critical thinking is recommended when reading priority questions. Recognizing key words in the answer choices will allow you to know how to choose the correct answer for the question. Go through each answer choice and decide is it: Maslow’s hierarchy, safety-related, or following the nursing process (ADPIE). Never complete a nursing action that is outside the scope of practice.

Learning Outcomes

Test Taking Tip

Video Rationale