ATI LPN EXAM
ATI LPN EXAM ( 47 Questions)
A patient is receiving a 3% saline continuous IV infusion for hyponatremia. Which assessment data represents an adverse outcome (side effect) of this infusion?
Crackles throughout both lung fields:Crackles in the lung fields could indicate fluid overload, which is a concern. However, in the context of treating hyponatremia with hypertonic saline, it might not be an immediate adverse effect related to the saline infusion itself.
Radial pulse of 105 beats/min:An increase in heart rate can be associated with hypertonic saline infusion. It might be expected due to the osmotic effects of the saline.
Sediment and blood in the urine:
Sediment and blood in the urine could be indicative of kidney damage or injury. This is not a typical side effect of hypertonic saline infusion for hyponatremia.
Blood pressure increases from 88/50 to 122/74 mmHg:A significant increase in blood pressure can be an adverse effect of hypertonic saline. Rapid correction of hyponatremia can lead to osmotic demyelination syndrome, which can manifest with neurological symptoms and changes in blood pressure.
A. Crackles throughout both lung fields:
Crackles in the lung fields could indicate fluid overload, which is a concern. However, in the context of treating hyponatremia with hypertonic saline, it might not be an immediate adverse effect related to the saline infusion itself.
B. Radial pulse of 105 beats/min:
An increase in heart rate can be associated with hypertonic saline infusion. It might be expected due to the osmotic effects of the saline.
C. Sediment and blood in the urine:
Sediment and blood in the urine could be indicative of kidney damage or injury. This is not a typical side effect of hypertonic saline infusion for hyponatremia.
D. Blood pressure increases from 88/50 to 122/74 mmHg:
A significant increase in blood pressure can be an adverse effect of hypertonic saline. Rapid correction of hyponatremia can lead to osmotic demyelination syndrome, which can manifest with neurological symptoms and changes in blood pressure.