1234: The client’s parents indicate that he has been vomiting for the past twelve hours and has been unable to keep any fluids or foods down. The client's parents report that a similar illness has circulated in his school for several weeks. The assessment showed a child who was lethargic and fully oriented. The skin was hot, and the eyes appeared sunken. Capillary refill time was > 2 seconds. The client was communicative and reported no pain. Bowel sounds were active in all four quadrants, with no pain endorsed upon palpation. The client has no known medical history, is up to date with all immunizations, and takes no medications.

Temperature 100.4° F (38° C)

Pulse 101/minute

Respirations 14/minute

Blood Pressure 100/70 mm Hg

Pulse oximetry 97% on room air