Pharmacological and Parenteral TherapiesQuestion 728 of 2368

A client is receiving a 0.45% sodium chloride infusion. For which complication should the nurse monitor?

  1. Cellular shrinkage from water moving out of the cells
  2. Cerebral edema from water moving into the cells
  3. Fluid overload from water pulled into the blood vessels
  4. A rising serum sodium level from the high sodium content
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Correct answer: Cerebral edema from water moving into the cells

Hypotonic fluid moves water from the blood vessels into cells. Too much movement can cause cerebral edema and worsen hypovolemia.

Source: Nursing Advanced Skills (Open RN, Chippewa Valley Technical College, 2023), Initiate IV Therapy: Hypotonic Solutions. Licensed under CC BY 4.0.

Practice the topic "Pharmacological and Parenteral Therapies"

Questions last reviewed: 18 October 2026