The nurse receives shift report on a pediatric medical-surgical unit.The nurse has been assigned four clients for the shift.Which client does the nurse plan to assessment first based on the increased risk for dehydration?

Question

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A) The pediatric client with the greatest risk for dehydration is the client who is under 2 years of age experiencing tachypnea which increases insensible fluid loss. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system (migraine headache, broken leg, or cellulitis) is at a lower risk than is a toddler with a condition that increases insensible water loss.
B) The pediatric client with the greatest risk for dehydration is the client who is under 2 years of age experiencing tachypnea which increases insensible fluid loss. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system (migraine headache, broken leg, or cellulitis) is at a lower risk than is a toddler with a condition that increases insensible water loss.
C) The pediatric client with the greatest risk for dehydration is the client who is under 2 years of age experiencing tachypnea which increases insensible fluid loss. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system (migraine headache, broken leg, or cellulitis) is at a lower risk than is a toddler with a condition that increases insensible water loss.
D) The pediatric client with the greatest risk for dehydration is the client who is under 2 years of age experiencing tachypnea which increases insensible fluid loss. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system (migraine headache, broken leg, or cellulitis) is at a lower risk than is a toddler with a condition that increases insensible water loss.

The Nurse Receives Shift Report on a Pediatric Medical-Surgical Unit