Fluid Volume Deficit and Excess · NCLEX Exam

A patient has a serum sodium of 120 mEq/L, decreased urine output, and swollen hands and ankles. The nurse interprets this as:

  1. Hypernatremia secondary to acute fluid loss
  2. Dilutional hyponatremia from fluid volume excess
  3. Isotonic dehydration with normal serum osmolality
  4. Hypovolemia caused by excessive sodium loss
Show answer and explanation

Correct answer: Dilutional hyponatremia from fluid volume excess

Low serum sodium with edema suggests dilution from excess fluid (fluid volume excess) rather than volume deficit.

Difficulty: Medium Question 22 of 23

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