A nurse caring for a group of clients reviews the electrolyte laboratory results and notes a sodium level of 130 mEq/L on one clients laboratory report. The nurse understands that which client is at highest risk for the development of a sodium value at this level?
A. The client with renal failure B. The client who is taking diuretics C. The client with hyperaldosteronism D. The client who is taking corticosteroids
The client who is taking diuretics-rationale: hyponatremia is evidenced by a serum sodium level lower than 135 meq/l. hyponatremia can occur in the client taking diuretics. the client taking corticosteroids and the client with renal failure or hyperaldosteronism are at risk for hypernatremia.test-taking strategy: use the process of elimination. first, determine that the client is experiencing hyponatremia. next, you must know the causes of hyponatremia to direct you to option b. review the normal serum sodium level and the causes of hyponatremia if you had difficulty with this question.