The nurse assesses a 2-year-old child with vomiting and diar… | MyMerci
Elimination BCC
Question

The nurse assesses a 2-year-old child with vomiting and diarrhea. Which finding is most consistent with moderate dehydration?

Explanation
No tears and decreased urine output are expected findings with dehydration in a young child. Moist mucous membranes and usual activity suggest adequate hydration. Weight gain and bounding pulses are not typical signs of dehydration.

In-depth explanation

Clinical Judgment
Young children can deteriorate quickly, so hydration assessment focuses on mucous membranes, tears, urine output, behavior, and perfusion.

Memory Tip
Dry mouth, no tears, fewer wet diapers.

KR vs US
NCLEX pediatric questions often use diaper count as a practical urine-output clue.

Clinical scenario

Clinical Practice Guide
Pediatric dehydration assessment commonly includes urine output, tears, mucous membranes, mental status, and perfusion findings.

Caution
Persistent lethargy, poor perfusion, or inability to tolerate fluids requires urgent escalation.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.