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

Question

Quizplus · Accepted Answer

A)The pediatric client with the greatest risk for dehydration is the client who is under 2 years of age and 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 lower risk for dehydration 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 and 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 lower risk for dehydration 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 and 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 lower risk for dehydration 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 and 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 lower risk for dehydration than is a toddler with a condition that increases insensible water loss.

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