The nurse is caring for a client with infant with gastroenteritis. Which finding requires immediate follow-up?

Question

Accepted Answer

B. sunken fontanel, no tears, and delayed capillary refill — Sunken fontanel, absent tears, and delayed capillary refill suggest significant dehydration in an infant.

Answer

A. one loose stool after oral rehydration

Answer

C. irritability during diaper changes

Answer

D. heart rate 120/min when crying