Which of the following interventions is a priority? A client with a serum sodium of 115 mEq/L has been receiving 3% NS at 50 ml/HR for 16 hours. This morning the client feels tired and short of breath.
A. Turn down the infusion B. Check the latest sodium level C. Assess for signs of fluid overload D. Place a call to the physician
A complication of hypertonic sodium solution administration is fluid overload. While turning down the infusion, checking the latest sodium level, and notifying the physician may all be reasonable, the priority intervention is to assess for manifestations of fluid overload. Assessment is always the priority to determine what action to take next.