A Patient with Possible Cerebral Edema Has a Serum Sodium

question 21

Multiple Choice

A patient with possible cerebral edema has a serum sodium level of 115 mEq/L (115 mmol/L) , a decreasing level of consciousness (LOC) and complains of a headache. All of the following orders have been received. Which one should the nurse accomplish first?

• A) Administer acetaminophen (Tylenol) 650 mg orally.
• B) Administer 5% hypertonic saline intravenously.
• C) Draw blood for arterial blood gases (ABGs).
• D) Send patient to radiology for computed tomography (CT) of the head.

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