NursingPlex
    Sign In
    Ati lpn med surg midterm proctored exam

    A pediatric patient is admitted with dehydration and irritability. How should the nurse prioritize their care using Maslow's Hierarchy?

    Explanation & Rationale

    A. Provide comfort measures to address irritability: Irritability in a dehydrated pediatric patient is often a symptom of physiological distress and electrolyte imbalance. While comfort is important, it does not correct the underlying biological deficit of fluid volume. Treating the symptom rather than the physical cause violates Maslow's priority-setting principles. B. Involve the parents to provide reassurance: Parental involvement satisfies the need for love and belonging, which is a third-tier requirement. In an acute clinical scenario involving dehydration, the child's basic physiological survival is at greater risk. Psychosocial support must follow the restoration of hemodynamic and fluid stability. C. Plan a nutritional intervention with the dietician: Long-term nutritional planning is a higher-level health maintenance goal. It does not address the immediate, acute threat of dehydration and potential hypovolemic shock. Acute physiological needs must be prioritized and resolved before addressing secondary dietary or lifestyle modifications. D. Start intravenous fluid therapy: Water and electrolyte balance are fundamental physiological needs at the base of Maslow's hierarchy. Intravenous rehydration directly treats the cause of irritability and prevents cardiovascular collapse. This is the most urgent action to ensure the patient's survival and physical stability.

    🔒 Submit your answer to reveal