A child with severe diarrhoea becomes drowsy and has cold hands, a weak pulse and delayed capillary refill. Which problem should the nurse identify as the immediate priority?
Correct answer: B. Circulatory shock from severe fluid loss
- A. Mild abdominal discomfort
- B. Circulatory shock from severe fluid loss
- C. Temporary loss of appetite
- D. Uncomplicated intestinal worm infestation
Explanation
Drowsiness, cold extremities, weak pulse and delayed capillary refill indicate poor circulation and possible hypovolaemic shock from severe dehydration. Circulation is an immediate priority after airway and breathing, requiring urgent escalation and rehydration management.
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About Common Childhood Illnesses
Common childhood illnesses include acute respiratory infections, diarrhoeal disease, dehydration, measles, mumps, chickenpox, pertussis and worm infestations. The subject focuses on causes, signs, transmission, assessment, prevention and nursing care, especially distinguishing pneumonia from less severe respiratory infection and classifying dehydration by clinical findings.
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