During an assessment, the nurse becomes concerned that an older adult client is at risk for dehydration. Which of the following assessment findings would cause the nurse to come to this conclusion?

Question

Quizplus · Accepted Answer

A)Poor intake of water (in this case, only two glasses per day)could indicate a loss of the thirst response, which is a normal age-related change that increases the risk for dehydration. Skin turgor is a poor indicator of fluid balance in older adult clients, as the skin's elasticity naturally decreases with age. The client's blood pressure is elevated, but this could indicate either fluid volume overload or sodium sensitivity. The client's body mass index is within normal limits and thus would not contribute to dehydration. Note, however, that a body mass index associated with overweight or obesity could be associated with dehydration, as fat cells contain little or no water.
B)Poor intake of water (in this case, only 2 glasses per day)could indicate a loss of the thirst response, which is a normal age-related change that increases the risk for dehydration. Skin turgor is a poor indicator of fluid balance in older adult clients, as the skin's elasticity naturally decreases with age. The client's blood pressure is elevated, but this could indicate either fluid volume overload or sodium sensitivity. The client's body mass index is within normal limits and thus would not contribute to dehydration. Note, however, that a body mass index associated with overweight or obesity could be associated with dehydration, as fat cells contain little or no water.
C)Poor intake of water (in this case, only 2 glasses per day)could indicate a loss of the thirst response, which is a normal age-related change that increases the risk for dehydration. Skin turgor is a poor indicator of fluid balance in older adult clients, as the skin's elasticity naturally decreases with age. The client's blood pressure is elevated, but this could indicate either fluid volume overload or sodium sensitivity. The client's body mass index is within normal limits and thus would not contribute to dehydration. Note, however, that a body mass index associated with overweight or obesity could be associated with dehydration, as fat cells contain little or no water.
D)Poor intake of water (in this case, only 2 glasses per day)could indicate a loss of the thirst response, which is a normal age-related change that increases the risk for dehydration. Skin turgor is a poor indicator of fluid balance in older adult clients, as the skin's elasticity naturally decreases with age. The client's blood pressure is elevated, but this could indicate either fluid volume overload or sodium sensitivity. The client's body mass index is within normal limits and thus would not contribute to dehydration. Note, however, that a body mass index associated with overweight or obesity could be associated with dehydration, as fat cells contain little or no water.

During an Assessment, the Nurse Becomes Concerned That an Older