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Exam (elaborations)

NGN NCLEX Review with 100% correct solutions 2024

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Normal Sodium level correct answers135-145 Hyponatremia correct answerslow sodium in the blood Chronic: Anorexia, Nausea, Emesis, Muscular, Weakness, Irritability Severe: gait changes, stupor, seizures, coma causes of hyponatremia correct answersCauses of hyponatremia: Diuretics-Thiazide Drugs Dietary Changes,Low Na diet, Excessive water intake with sweating Fad diets, Anorexia nervosa. GI vomiting, diarrhea, GI suctioning, Tap water enemas,diuretics, kidney disease Treatments for hyponatremia correct answers0.9% NaCl, accurate I&O, vitals (pulse), watch for signs of water intoxication, monitor blood gases, watch for respiratory difficulties Hypernatremia correct answershigh sodium in the blood Mild: thirst, rough dry tongue, dry sticky mucous membranes, tachycardia, fever, flushed dry skin Severe: disorientation, hallucinations, lethargy, irritability, seizure, coma causes of hypernatremia correct answersCauses: Dietary Changes-Excessive Salt intake Excessive IV Saline Deprivation of water GI Disorders (Watery Diarrhea) Decreased Renal Function Insensible Water Loss Heat Stroke Salt water drowning Head Injury Trauma treatments for hypernatremia correct answersrestrict sodium intake, identify drugs that are sodium retaining, monitor Na levels daily, check for rales, edema in lower extremities, I&O, Urine specific gravity urine specific gravity level correct answers>1.015 normal potassium levels correct answers3.5-5.0 mEq/L

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