Pediatric Fluid and Electrolyte Imbalances · NCLEX Exam

Which finding is most consistent with severe dehydration in children?

  1. Slightly increased pulse with normal capillary refill and moist lips
  2. Weight loss of about 2% with moist mucous membranes and normal pulse
  3. Weight loss > 10%, sunken fontanel, capillary refill > 4 seconds
  4. Normal anterior fontanel with brisk capillary refill and good skin turgor
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Correct answer: Weight loss > 10%, sunken fontanel, capillary refill > 4 seconds

In infants a > 10% weight loss plus signs such as sunken fontanel, delayed capillary refill indicate severe dehydration.

Difficulty: Medium Question 7 of 23

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