A nurse is taking care of four different pediatric clients. Which of the following children is at greatest risk for dehydration?
1. 7-year-old child with migraine headaches
2. 18-month-old child with tachypnea
3. 4-year-old child with a broken arm
4. 2-year-old child with cellulitis of the left leg
2
Rationale:
1. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system is at a lower risk than is a toddler with a condition that increases insensible water loss.
2. The pediatric client with the greatest risk is under 2 years of age and with a condition that increases insensible fluid loss.
3. The pediatric client with an acute condition that does not directly affect electrolytes is at a lower risk than is a client with a condition that increases insensible water loss.
4. The pediatric client with an acute condition, such as a patient with cellulitis that does not affect the GI or electrolyte system, is at a lower risk than is a toddler with a condition that increases insensible water loss.
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