UWorld Leadership Practice Test

The appropriate nursing intervention for a confused client admitted with hyponatremia involves administering fluid restrictions as ordered. When a patient has hyponatremia, their sodium levels in the body are abnormally low, which can lead to fluid overload and exacerbate confusion and other neurological symptoms. By implementing fluid restrictions, the nurse can help prevent further dilution of sodium levels and allow for a gradual adjustment back to normal levels.

Managing fluid intake is crucial in treating hyponatremia because it directly impacts sodium concentration in the body. This intervention not only assists in stabilizing the patient's condition but also addresses the underlying issue contributing to their confusion.

Other interventions, such as monitoring liver function tests, assessing vital signs, or providing reassurance without notifying a physician, may be important in certain contexts but do not target the immediate concern of managing hyponatremia and its effects on the patient’s mental status. Therefore, prioritizing fluid management in this scenario is vital for the safe and effective care of the client.