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Hint : 💧 Dilutional means excess water

Correct Answers:

  • Encourage the patient to Increase oral fluid intake.


Rationale :

✨ Dilutional hyponatremia occurs when excess body water dilutes the sodium concentration in the bloodstream.

✨ Encouraging additional oral fluids would further dilute the serum sodium and could worsen the patient’s hyponatremia.

✨ Treatment commonly includes fluid restriction to reduce free-water retention and gradually restore sodium balance.

✨ A sodium level of 130 mEq/L represents mild hyponatremia, but continued dilution can lead to headache, confusion, seizures, or decreased consciousness.

✨ The nurse should monitor the patient’s neurological status because cerebral edema can develop as sodium falls.

✨ Daily weights and strict intake and output help evaluate changes in fluid volume.

✨ The nurse should clarify the fluid-intake order and confirm whether a specific fluid restriction is intended.

✨ Increasing oral fluids conflicts with the management of dilutional hyponatremia and should therefore be questioned.


Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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