Medical Surgical Sodium Na+ #10

Question

A client has a serum sodium level of 150 mEq/L. The nurse reports the serum sodium level to the healthcare provider who prescribes dietary instructions based on the sodium level. Which food item does the nurse instruct the client to avoid?

Answers

  1. Peas
    • Rationale:

      This answer is not correct because peas are not naturally high in sodium; therefore, this food does not need to be avoided based on the current data. It is important to note, however, that canned peas have a high sodium content and should be avoided.

  2. Cauliflower
    • Rationale:

      This answer is not correct because cauliflower is not a food high in sodium; therefore, this food does not need to be avoided based on the current data.

  3. Low-fat yogurt
    • Rationale:

      This answer is not correct because low-fat yogurt is not a food that is high in sodium; therefore, this food does not need to be avoided based on the current data.

  4. Processed oat cereals
    • Rationale:

      This answer is correct because processed foods are high in sodium; therefore, this item should be avoided based on the current data. A high sodium level can cause dehydration, nausea, seizures, and even loss of consciousness/coma.

Overview

Sodium is both an electrolyte and mineral; the normal range for serum sodium is 135 to 145 mEq/L. Sodium helps maintain homeostasis of fluid and electrolytes within the body.

Explanation

Learning Outcomes

Sodium helps maintain homeostasis of fluid and electrolytes within the body. Sodium is also important in how nerves and muscles work. Most of the sodium in the body is found in blood and lymph fluid. Avoiding foods high in sodium, such as processed oat cereals is recommended for the client with an elevated sodium level. Limiting the intake of sodium will help lower the serum sodium level. A high sodium level can cause dehydration, nausea, seizures, and even loss of consciousness/coma.

Test Taking Tip

Consider each food item and ask yourself, “Is this food high in sodium.” The choice you answer yes to is the correct answer.

Video Rationale