Medical Surgical Sodium Na+ #4

Question

The nurse is preparing diet teaching for a client with an electrolyte imbalance. Which should the nurse include when the client’s sodium level is 158 mEq/L? Select all that apply.

Answers

  1. Pretzels
    • Rationale:

      This answer is not correct because pretzels are an example of a processed food which is often high in sodium; therefore, this option is not included as an example of a low sodium food choice.

  2. Baked ham
    • Rationale:

      This answer is not correct because ham is an example of a processed food which is often high in sodium; therefore, baked ham is not included as an example of a low sodium food choice.

  3. Baked potato
    • Rationale:

      This answer is correct because a sodium level of 158 mEq/L is elevated and a low sodium diet should be prescribed. A baked potato is an example of a food low in sodium.

  4. Baked chicken
    • Rationale:

      This answer is correct because a sodium level of 158 mEq/L is elevated and a low sodium diet should be prescribed. Baked chicken is an example of a food low in sodium.

  5. Chicken bouillon
    • Rationale:

      This answer is not correct because chicken bouillon is a processed food that is often high in sodium; therefore, it is not included as an example of a low sodium food choice.

Overview

The normal range for serum sodium is 135 to 145 mEq/L. The medical term for elevated serum sodium is hypernatremia.

Explanation

Learning Outcomes

The medical term for elevated serum sodium is hypernatremia. Individuals with dementia or anyone who has limited access to fluids is at risk for developing hypernatremia. Symptoms vary based on the condition’s severity, but include fatigue, restlessness, and thirst. Clients who are diagnosed with hypernatremia are instructed to decrease the amount of sodium in the diet. Foods that are low in sodium include baked chicken and baked potato.

Test Taking Tip

When answering select all that apply (SATA) questions, look at each answer option and ask yourself if the response is true or false.

Video Rationale