The nurse knows which of the following clinical manifestations indicate severe dehydration?

Cool limbs
Extreme thirst
Faint pulse
Obtunded level of consciousness (LOC)

Explanation

• Obtunded level of consciousness, faint pulse, extreme thirst, and cool limbs indicate severe dehydration.

• Decreased urine output and capillary refill time of greater than 2 seconds are both indicative of mild dehydration.

• Dry mucous membranes and slow skin turgor indicate moderate dehydration.

• Bradycardia and back pain are not indicators of severe dehydration.

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