Emergency Nursing Pediatric Course (ENPC) Home Practice Exam

When managing fluid resuscitation in children, it is crucial to recognize that careful monitoring of fluid balance is essential to prevent fluid overload. Unlike adults, children have a higher total body water percentage, making them more susceptible to the complications of both dehydration and fluid overload.

In pediatric patients, the kidneys may not yet be fully mature, which can complicate fluid management and increase the risk of fluid retention. Additionally, conditions such as heart failure or pulmonary issues can exacerbate the effects of fluid overload, leading to serious complications like respiratory distress or edema. Therefore, maintaining an accurate assessment of fluid input and output, as well as ongoing evaluation of a child's clinical status, helps ensure effective resuscitation while minimizing the risk of adverse effects.

In this context, other options suggest a misunderstanding of fluid management principles. Fluid overload is clearly a concern in pediatric care, monitoring fluid balance is essential, and electrolyte imbalances indeed play a significant role in the overall health of children receiving resuscitation.