Difficulty: Medium
Average Score: 70%
Simulated
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates dehydration?
Correct answer
A,B,C,D
Rationale
A sunken anterior fontanel suggests reduced intracranial pressure from dehydration. Increased pulse rate compensates for reduced circulating volume. Dry mucous membranes result from fluid depletion. Irritability occurs due to electrolyte imbalance and hypovolemia, all indicating dehydration.