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When assessing a child for signs of dehydration, which symptoms should prompt concern?

  1. Dry mouth and increased thirst

  2. Low-grade fever and fatigue

  3. Pale skin and irritability

  4. Constipation and headache

The correct answer is: Pale skin and irritability

Pale skin and irritability are significant indicators of dehydration in children. When a child becomes dehydrated, their body experiences changes that can manifest as alterations in skin color and mood. Pale skin can suggest reduced blood flow or hypovolemia, a condition where there is a decrease in the volume of blood circulating in the body, which can occur with dehydration. Additionally, irritability often signifies that the child is not getting enough fluids and may be experiencing discomfort as a result of decreased hydration. Both symptoms together highlight a concerning state in a child's health that necessitates further evaluation and possible intervention to address dehydration. Recognizing these signs allows caregivers to act quickly to ensure the child receives appropriate hydration and care. Other symptoms mentioned in the remaining choices, while they may indicate some issues, do not signal dehydration with the same level of urgency as pale skin and irritability do.