A 3-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 a temperature of 40.1ºC (104.2ºF), pulse of 120/minute, and respirations of 28/minute. The best, most comprehensive description of this child's condition is:
1. Toxic.
2. Feverish.
3. Flushed.
4. Tired.


1
Rationale:
1. The child with a high temperature, lethargy, irritability, poor skin perfusion, hypoventilation or hyperventilation, and cyanosis is described as having a toxic appearance.
2. The child has a high fever, but "feverish" is not the best, most comprehensive description of the child's condition.
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.
4. The child might be tired, but "tired" is not the best, most comprehensive description of the child's condition.

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