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학습 자료 둘러보기 →The priority intervention for a client with heart failure, ascites, and dilutional hyponatremia (Na 128 mEq/L) is fluid restriction. This directly addresses the excess total body water causing both the edema and the low sodium concentration.
In hypervolemic hyponatremia, total body sodium is often normal or elevated, but water is disproportionately high. Administering sodium is contraindicated as it worsens fluid overload. Fluid restriction is the cornerstone of management.
Do not confuse dilutional hyponatremia with sodium depletion. Always assess volume status first. Avoid Trendelenburg positioning, which can dangerously increase cardiac preload and respiratory distress in heart failure.
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