Dehydration in Children

Dehydration in Children ( 29 Questions)

A client who has been diagnosed with mild hyponatremia and has experienced gastric fluid loss from vomiting is about to receive Half Normal Saline (0.45% NaCl).
This intravenous fluid contains Sodium 77 mEq/L and Chloride 77 mEq/L.
It is contraindicated in cases of hypovolemia, hyponatremia, increased intracranial pressure, liver disease, trauma, and burns.
What should the client say to demonstrate understanding of the treatment plan?


Correct Answer: A

Choice A rationale:

“This fluid will help to restore my sodium levels and replace the fluids I lost from vomiting.”.

The client should understand that they are receiving Half Normal Saline (0.45% NaCl) to restore sodium levels and replace lost fluids due to vomiting.

Half Normal Saline contains 77 mEq/L of sodium and 77 mEq/L of chloride, making it a suitable choice for a patient with mild hyponatremia and fluid loss from vomiting.

It helps restore sodium levels without the risk of overcorrection seen with 0.9% NaCl.

Choice B rationale:

“This fluid will help to lower my sodium levels and replace the fluids I lost from sweating.”.

Half Normal Saline is not used to lower sodium levels; its purpose is to restore sodium levels and provide fluids for cases like vomiting or other fluid losses.

Sweating typically leads to fluid loss, not sodium loss, and Half Normal Saline is not a treatment for high sodium levels.

Choice C rationale:

“This fluid will help to restore my potassium levels and replace the fluids I lost from vomiting.”.

Half Normal Saline does not address potassium levels, and the primary reason for using it is to address sodium imbalances and fluid loss, not potassium-related issues.

Choice D rationale:

“This fluid will help to lower my potassium levels and replace the fluids I lost from sweating.”.

Half Normal Saline is not used to lower potassium levels and is not specifically indicated for treating high potassium.

Additionally, it is not typically used to address fluid loss from sweating.




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