The nurse is assessing a client admitted with hyponatremia secondary to dehydration. Which of the following physical assessment findings would be expected?A. Orthostatic hypotensionB. Peaked T-waves on electrocardiogram (ECG)C. Bounding peripheral pulsesD. Polyuria
Question
The nurse is assessing a client admitted with hyponatremia secondary to dehydration. Which of the following physical assessment findings would be expected?A. Orthostatic hypotensionB. Peaked T-waves on electrocardiogram (ECG)C. Bounding peripheral pulsesD. Polyuria
Solution
A. Orthostatic hypotension
Hyponatremia, or low sodium levels, can occur due to dehydration. When the body is dehydrated, it doesn't have enough fluid in the blood vessels, which can lead to low blood pressure. Orthostatic hypotension, a form of low blood pressure that happens when you stand up from sitting or lying down, could be a physical assessment finding in this case.
B. Peaked T-waves on ECG are typically associated with hyperkalemia, not hyponatremia.
C. Bounding peripheral pulses are usually associated with conditions like high blood pressure, not hyponatremia.
D. Polyuria, or excessive urination, can lead to dehydration, but it's not a direct result of hyponatremia. It's more likely to be a cause of the dehydration that led to the hyponatremia.
So, the most expected physical assessment finding in a client admitted with hyponatremia secondary to dehydration would be orthostatic hypotension.
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