An older adult client admitted with heart failure and a sodium level of 113 mEq/L is behaving aggressively toward staff and does not recognize family members. When the family expresses concern about the client’s behavior, the nurse would respond most appropriately by stating which of the following? A. “The client may be suffering from dementia, and the hospitalization has worsened the confusion B. “Most older adults get confused in the hospital.” C. “The sodium level is low, and the confusion will resolve as the levels normalize.” D. “The sodium level is high, and the behavior is a result of dehydration.”

A nurse is assessing a client who has heart failure.Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?A. "I will weigh myself daily.".B. "l hate how I feel all the time.".C. "I'm too tired to brush my teeth.".D. "I need to start eating a low-sodium diet.

74) A nurse is caring for a client who is in the non-progressive (compensatory) stage ofhypervolemic shock. Which finding should the nurse anticipate? ***(a) Multi-organ Dysfunction Syndrome and seizures(b) Increase thirst reflex and moderate vasoconstriction(c) pH 7.5 and potassium level of 3.0 mEq/L(d) Decrease in MAP by 20 points from baseline

A client with a serum sodium of 125 mEq/L has been receiving 3% NS at 50 ml/hr for 16 hours. This morning the client feels tired and short of breath. Which of the following interventions is a priority? 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 nurse is caring for several clients at risk for overhydration. The nurse assesses the older client with which finding first?*1 pointa. Has had diabetes mellitus for 12 yearsb. Uses sodium-containing antacids frequentlyc. Just received 3 units of packed red blood cellsd. Had abdominal surgery and has a nasogastric tube

The nurse is admitting a client with a potassium level of 6.0 mEq/L. The nurse reports this finding as a result of? A. acute renal failure. B. malabsorption syndrome. C. nasogastric drainage. D. laxative abuse