What additional signs would the nurse expect to note in this client if hyponatremia were present? A nurse is caring for a client with acute congestive heart failure who is receiving high doses of a diuretic. On assessment, the nurse notes that the client has flat neck veins, generalized muscle weakness, and diminished deep tendon reflexes. The nurse suspects hyponatremia.
A. Dry skin B. Decreased urinary output C. Hyperactive bowel sounds D. Increased specific gravity of the urine
Hyponatremia is evidenced by a serum sodium level lower than 135mEqk. Hyperactive bowel sounds could indicate hyponatremia. Some of the symptoms are also confusion, severe vomiting, and unsteady gate. Dry skin is also a symptom of hyponatremia.
In hyponatremia, a fluid volume deficit occurs when the fluid intake is not sufficient to meet the fluid needs of the body, which includes decreased urine volume. Hyponatremia treatment is based on the underlying cause.
Hyponatremia can be divided into cases with dilute urine and concentrated urine. Hyponatremia is the word used to describe low sodium levels in the bloodstream. Dry skin is also a symptom of hyponatremia.
Rationale: Hyperactive bowel sounds indicate hyponatremia. Options A, B, and D are signs of hypernatremia. In hyponatremia, increased urinary output and decreased specific gravity of the urine would be noted. Dry skin occurs in deficient fluid volume.
Test-Taking Strategy: Focus on the data in the question and the subject of the question. Recalling the signs of hyponatremia will direct you to option C. If you had difficulty with this question, review the assessment signs associated with hyponatremia and hypernatremia.