Which option is a correct statement about hyponatremia with seizures and treatment?

• A. Seizure precautions only
• B. Rapid correction with isotonic saline without precautions
• C. Seizure precautions and rapid correction with hypertonic saline if indicated
• D. No treatment

Answer: (C)

When hyponatremia presents with seizures, the immediate priorities are protecting the patient during the seizure and correcting the sodium deficit promptly because brain swelling is life-threatening. Seizure precautions are essential to keep the patient safe—pad bed rails, protect the head, keep suction ready, and ensure airway and oxygen support as needed. Because the patient is symptomatic with seizures, rapid but controlled correction of sodium is indicated, typically with hypertonic saline (such as 3% NaCl) to quickly raise serum sodium and reduce cerebral edema. This treatment must be done with careful monitoring of sodium levels and neurologic status to avoid overcorrection, which can cause osmotic demyelination.

Why the other options aren’t appropriate: relying on seizure precautions alone leaves the hyponatremia unaddressed; using isotonic saline without precautions may not correct the sodium quickly enough in the presence of seizures and carries risk of further shifts; and doing nothing is unsafe because it ignores the urgent need to correct life-threatening hyponatremia.