Pediatric Fluid and Electrolyte Imbalances · NCLEX Exam

In managing a child with hypernatremic dehydration, the nurse knows that the serum sodium must be corrected:

  1. Very rapidly to normal within 2 hours
  2. At a slow rate to avoid cerebral edema
  3. Only with hypotonic fluid bolus
  4. Without monitoring levels
Show answer and explanation

Correct answer: At a slow rate to avoid cerebral edema

Rapid correction of hypernatremia can cause cerebral edema because of fluid shifts into cells; gradual correction is safer.

Difficulty: Medium Question 3 of 23

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