A three-year-old child is lying in a fetal position. The child has pale skin, glassy eyes, and a flat affect. The child is irritable and refuses food and fluids. The child's vital signs are temperature 40.1°C (104
2°F), pulse 120/minute, respirations 28/minute. The best, most comprehensive description of this child's condition is: 1. Tired.
2. Feverish.
3. Flushed.
4. Toxic.
4
Rationale 1: The child might be tired, but this is not the best, most comprehensive description of the child's condition.
Rationale 2: The child has a high fever, but this is not the best, most comprehensive description of the child's condition.
Rationale 3: The term "flushed" is incorrect because it indicates a reddish appearance to the skin. The child has pale skin, which would be a white appearance to the skin.
Rationale 4: The child with a toxic appearance is described as one with a high temperature, lethargy, irritability, poor skin perfusion, hypoventilation or hyperventilation, and cyanosis.
Global Rationale:
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