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colleen colleen
wrote...
Valued Member
Posts: 17076
11 years ago
A patient is admitted with hypernatremia caused by being stranded on a boat in the Atlantic Ocean for five days without a fresh water source. Which of the following is this patient at risk for developing?
1. pulmonary edema
2. atrial dysrhythmias
3. cerebral bleeding
4. stress fractures
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Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
Correct Answer: 3
Rationale 1: Pulmonary edema is not associated with dehydration.
Rationale 2: Atrial dysrhythmias are not a factor for this patient.
Rationale 3: The brain experiences the most serious effects of cellular dehydration. As brain cells contract, the brain shrinks, which puts mechanical traction on cerebral vessels. These vessels may tear, bleed, and lead to cerebral vascular bleeding.
Rationale 4: There have been no activities to support the development or occurrence of stress fractures.
Global Rationale: The brain experiences the most serious effects of cellular dehydration. As brain cells contract, the brain shrinks, which puts mechanical traction on cerebral vessels. These vessels may tear, bleed, and lead to cerebral vascular bleeding. The patient in question would face dehydration. Pulmonary edema is not associated with dehydration. Atrial dysrhythmias are not a factor for this patient. There have been no activities to support the development or occurrence of stress fractures.
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