A Toddler Is Seen in the Clinic After a 2-Day

A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An assessment reveals an irritable child with dry mucous membranes, 3-second capillary refill, 2- second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had two wet diapers in the past 24 hours. What will the primary care pediatric nurse practitioner recommend?

A) Anti-diarrheal medication and clear fluids for 24 hours
B) Bolus of IV normal saline in the clinic until improvement
C) Hospital admission for IV rehydration and oral fluids
D) Oral rehydration solution with follow-up in 24 hours