Administer a bolus of normal saline with 5% dextrose added to the solution

Offer the child an oral rehydrating solution such as Pedialyte

A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198, and her blood pressure is 68/38. The infant ’ s anterior fontanel is sunken. The nurse notes that the infant does not cry when the intravenous line is inserted. The child ’ s parents state that she has not “held anything down” in 18 hours. The nurse obtains a fi nger-stick blood sugar of 94. Which would the nurse expect to do immediately?