The nurse has administered 3% saline to a client with hyponatremia. Which of the following assessment data will require the most rapid response by the nurse?
A)The client's radial pulse is 105 beats/minute.
B)There is sediment and blood in the client's urine.
C)The blood pressure increases from 120/80 to 142/94.
D)There are crackles audible throughout both lung fields.

Question

Quizplus · Accepted Answer

Crackles throughout both lungs suggest that the client may be experiencing pulmonary edema, a life-threatening adverse effect of hypertonic solutions. The increased pulse rate and blood pressure and the appearance of the urine also should be reported, but they are not as dangerous as the presence of fluid in the alveoli.

The Nurse Has Administered 3% Saline to a Client with Hyponatremia