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?

Choice A rationale:

Lethargy and muscle weakness are common signs of electrolyte imbalances in a dehydrated child.

Dehydration can lead to an imbalance of electrolytes, such as sodium and potassium, which affects muscle function and overall energy levels.

Choice B rationale:

Increased appetite and hyperactivity are not typical signs of electrolyte imbalances in a dehydrated child.

Dehydration often leads to a decreased appetite and lethargy.

Choice C rationale:

Shortness of breath and coughing are not directly related to electrolyte imbalances in a dehydrated child.

These symptoms are more likely to be associated with respiratory or pulmonary issues rather than dehydration.

Choice D rationale:

Excessive thirst and urination are common signs of dehydration but are not indicative of electrolyte imbalances.

These symptoms occur as the body attempts to compensate for fluid loss by increasing thirst and increasing urine output.

Electrolyte imbalances are more likely to manifest as muscle weakness and cardiac arrhythmias.

“I understand that my child’s hydration status will be continuously assessed.”.

Choice A rationale:

While a child's age and weight may play a role in determining fluid replacement, this statement doesn't encompass the entire concept of managing dehydration.

Monitoring hydration status involves assessing clinical signs and symptoms, as well as ongoing evaluation.

Choice B rationale:

Electrolyte solutions and supplements are indeed part of the treatment for dehydration.

However, this statement doesn't reflect the comprehensive understanding of managing a dehydrated child, including continuous assessment of hydration status.

Choice C rationale:

This statement indicates a correct understanding.

Continuous assessment of a child's hydration status is essential in managing dehydration.

It allows healthcare providers to monitor the child's response to treatment and make necessary adjustments.

Choice D rationale:

Collaboration within the healthcare team is important, but this statement doesn't specifically address the understanding of fluid replacement and dehydration management.

The correct response is choice C because it highlights the critical aspect of continuous assessment, which is essential to ensure that the child's hydration status is being monitored effectively during treatment.