Pediatric Fluid and Electrolyte Imbalances · NCLEX Exam

Which statement is correct regarding fluid correction for a 2-year-old child with hypernatremia (serum sodium 156 mEq/L)?

  1. Rapid correction is safe and tends to shorten hospital stay
  2. Correction should be slow (over ~48 hours) to prevent cerebral edema
  3. Hypotonic fluids are always strictly contraindicated in this child
  4. There is no need to monitor neurologic status during the correction
Show answer and explanation

Correct answer: Correction should be slow (over ~48 hours) to prevent cerebral edema

In children, hypernatremia must be corrected gradually to avoid cerebral edema; pediatric guidelines caution against rapid lowering of sodium.

Difficulty: Medium Question 12 of 23

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