medium · NCLEX-RN health-promotion
A nurse is assessing a 9-month-old infant for signs of dehydration.
Which finding is most indicative of severe volume depletion in this client?
- A soft, flat anterior fontanelle while the infant is sitting upright.
- Capillary refill of 4 seconds and a high-pitched, shrill cry.
- Absence of erupted incisors or molars upon oral inspection.
- Heart rate of 120 beats/min while the infant is sleeping.
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