Intravenous Fluids · NCLEX Exam

For a patient receiving hypertonic saline, what monitoring parameter is most crucial due to the risk of osmotic demyelination?

  1. Urine specific gravity measured each shift
  2. Serum sodium with neurologic status
  3. Blood glucose checked before each infusion
  4. Platelet count monitored daily
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Correct answer: Serum sodium with neurologic status

Frequent checks of serum sodium levels and neurologic status are vital during hypertonic saline infusion to prevent rapid sodium rises and associated neurologic complications.

Difficulty: Medium Question 12 of 20

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