2. Six-month-old Joshua is brought to the acute care center by his parents.

2. Six-month-old Joshua is brought to the acute care center by his parents. The parents tell the nurse that Joshua has become “very fussy,” seems to be pulling at his right ear, and is running a fever. The nurse finds the infant’s temperature to be 100.2°F axillary. His weight is 7.7 kg and he is crying inconsolably. Joshua’s anterior fontanel is flat when he is crying and his skin feels hot to the touch and dry. Joshua’s mother tells the nurse that when the infant saw his physician 10 days ago he weighed 8.1 kg. (Learning Objective 3)

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