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The client is admitted to a nursing unit from a long-term care facility with a hematocrit of 56% and a serum sodium level of 152 mEq/L. Which condition would be a cause for these findings?

This question is part of Fluids and Electrolytes NCLEX practice questions
Asked by Tgerdel, Last updated: Jun 11, 2019

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2 Answers

Anyedina nelson

Anyedina nelson

Answered on Mar 22, 2019

The answer is dehydration cos that elevated serum sodium as well increase haematocrit count

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tgerdel

Tgerdel

Answered on Oct 03, 2018

Dehydration.

A. (incorrect) Clients who are overhydrated or have fluid volume excess would experience dilutional values of sodium (135-145 mEq/L) and red blood cells (44% to 52%). The levels would be lower than normal, not higher. B. (incorrect) Anemia is a low red blood cell count for a variety of reasons. C. (correct) Dehydration results in concentrated serum that causes lab values to increase because the blood has normal constituents but not enough volume to dilute the values to within normal range or possibly lower. D. (incorrect) In renal failure, the kidneys cannot excrete, and this results in too much fluid in the body. TEST-TAKING HINT: The test taker must decide first if the values are high or low and then determine what is happening with body fluids in each process. Overhydration and renal failure result in the same fluid shift, so these two options (A and D) could be excluded.
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