Medical Surgical Sodium Na+ #7

Question

A client has a serum sodium level of 110 mEq/L. Which nursing intervention should be implemented?

Answers

  1. Encourage fluids orally.
    • Rationale:

      This answer is not correct because when a client experiences hyponatremia, fluids are not given as this may further decrease the serum sodium level.

  2. Place on seizure precautions.
    • Rationale:

      This answer is correct because clients with low sodium levels are at risk for seizures as a complication. The lower the sodium level, the greater the risk for seizures.

  3. Administer 10% saline solution IVPB.
    • Rationale:

      This answer is not correct because hypertonic saline solutions should only be used very cautiously, because if the sodium levels increase too rapidly, a massive fluid shift can occur in the body, resulting in neurological damage and heart failure.

  4. Administer antidiuretic hormone intranasally.
    • Rationale:

      This answer is not correct because administration of a synthetic antidiuretic hormone (ADH) will lower osmolarity thus further reducing sodium concentration within the body by increasing water reabsorption in the kidneys, thus helping to dilute bodily fluids.

Overview

Sodium is an electrolyte that regulates the amount of water that is in and around the cells of the body. The normal range for serum sodium is 135 to 145 mEq/L.

Explanation

Learning Outcomes

The normal range for serum sodium is 135 to 145 mEq/L. A serum sodium level of 110 mEq/L indicates the client is experiencing hyponatremia. Hyponatremia increases the client’s risk for seizure activity; therefore, the nurse places the client on seizure precautions to enhance safety.

Test Taking Tip

Consider the complications associated with hyponatremia to answer this question correctly.

Video Rationale