A 3 year old is brought to the emergency department with a fever that has lasted for the past three days. The mother is concerned because the toddler is very lethargic. The child is crying, but the nurse notices no tears, and her eyes look sunken
The nurse anticipates which of the following priority interventions? 1. Administering intravenous fluids
2. Placing the child in contact precautions
3. Decreasing stimulation and providing time to rest
4. Administering antibiotics to reduce the child's fever
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1. This child is demonstrating signs and symptoms of dehydration and needs immediate intervention with intravenous fluids. The nurse should also assess if the child has had a decreased urine output and continue to monitor the child's intake and output.
2. The child is past the transmission state of illness.
3. These are important factors, but they are not the priority at this time.
4. Viral infections can cause fevers, and no antibiotics should be used at that time.
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