ATI Video Case Study: Pediatric Dehydration
View the video case study and complete the quiz. Please upload the report. Also,
answer the following:
CLINICAL SCENARIO
You are the nurse caring for a 3-year-old client who was admitted to the hospital for
gastroenteritis and dehydration. The child is having excessive diarrhea and febrile
with a temperature of 101° F for the past 3 days. The mother reports giving the child
acetaminophen as directed by the pediatrician. The mother is also providing fluid
replacement with a sports drink but the child refuses to drink much and states her
stomach doesn’t feel good.
1 What manifestations would you anticipate for the pediatric client who has
gastroenteritis and dehydration?
●
Fever is higher than 101° F. Persistent vomiting and/or diarrhea (runny stools)
Refusing to drink fluids such as Pedialyte, Ricelyte, and Gatorade. Not making
urine at least six times a day.
2 What additional questions would you ask the mother related to the pediatric client’s
condition?
● Has your child been exposed to an adult or child with diarrhea, especially in a
day-care center or preschool setting?
● Has your child played with a pet that is ill with gastrointestinal symptoms such as
diarrhea?
● The number of episodes of vomiting
● Whether your child can drink fluids without vomiting
● The number of bowel movements
● Whether your child's bowel movements are semi-solid, mildly "loose" or very
watery
● How often your child has been urinating, often measured as the number of wet
diapers within the last 8 to 12 hours, or the number of bathroom trips to urinate
●
3 What additional assessment data should be obtained?
●
A doctor will diagnose gastroenteritis by first taking a complete history of your
symptoms. Often, lab tests are not needed to diagnose this condition. However, if
