The nurse is caring for a client with a serum sodium concentration of 113 mEq/L (113 mmol/L). The nurse should monitor the client for the development of which condition? Group of answer choices Confusion Headache Nausea Hallucinations
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Step 1: Recognize that a serum sodium concentration of 113 mEq/L is significantly lower than the normal range (135-145 mEq/L), indicating hyponatremia. Show more…
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Susan H.
Case Study: Part A Sodium is an incredibly important substance in our body. You may remember from Module 1 that sodium ions play a crucial role in conducting nerve impulses during depolarization. You may also remember from Biology 20 that sodium is involved in muscle contractions. Hyponatremia is a condition where there is too little sodium in the body. This can result in difficulty processing thoughts, nausea, decreased ability to balance, seizures, and coma. On the other hand, an excessive amount of sodium or hypernatremia in the body can also lead to many different neurological problems, including seizures and coma. Katrina has an excessive amount of sodium ions in her blood plasma. This is occurring despite the fact that she had been watching her salt intake and ensuring that she's drinking enough fluid throughout the day. From what you have learned in this module, which hormone imbalance is causing this problem for Katrina? Explain your reasoning. (2 marks)
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A young woman was brought into the emergency room because of repeated seizures. Her roommate said that the woman had been training for a marathon and that she had been drinking a lot of water. A blood test showed her plasma Na+ was very low: 120mM (normal 135-145), and her plasma osmolality was 250mosmoles/kg (normal 280-296). Why would her low osmolality and low Na+ concentration disrupt her brain function and cause seizures? What might be a possible therapy for this person?
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