Certified Pediatric Emergency Nurse (CPEN) Practice Exam

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What is a common clinical sign of dehydration in children?

Increased urine output

Dry mucous membranes

Dry mucous membranes are a classic clinical sign of dehydration in children. When a child is dehydrated, the body loses more fluids than it takes in, which can lead to a reduction in moisture in the mucous membranes of the mouth, nose, and throat. This dryness is a critical indicator that the child's hydration status is compromised.

In children, hydration status can fluctuate rapidly, and identifying signs of dehydration early is essential for prompt intervention. Dry mucous membranes can be easily assessed during a physical examination; if the membranes appear dry or sticky instead of moist, this suggests inadequate fluid intake.

Other signs, such as increased thirst, lethargy, and decreased urine output, can also be associated with dehydration, but the presence of dry mucous membranes is particularly telling because it directly reflects a deficiency in body fluids. Recognizing these clinical signs is fundamental to effectively managing pediatric patients, especially in emergency situations where timely treatment is critical.

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Greater appetite

Normal skin turgor

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