Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A 3-year-old child with moderate dehydration.A 3-year-old child is admitted to a pediatric unit with moderate dehydration. The nurse would expect to see which of the following assessment findings in this child?
Correct answer
D
Rationale
The correct answer is D. A 3-year-old with moderate dehydration will have a pulse slightly elevated, poor skin turgor, decreased urine output, and a weight loss. A pulse of 150 is slightly elevated due to dehydration. Poor skin turgor indicates dehydration, as the skin does not return to normal position when pinched. Oliguria is a sign of decreased fluid intake/output. A weight loss of 29.5 lbs suggests dehydration. Choices A, B, and C have more severe symptoms such as very high pulse, furrowed tongue, mottled skin, dry mucous membranes, and lower weight, which are indicative of severe dehydration.