You have been called to a local nursing home for a restless patient with a four-day history of diarrhea. The primary assessment reveals an open airway, rapid breathing, and a weak and rapid radial pulse. Vital signs are: pulse 124, respirations 24, blood pressure 100/60 mmHg, and SpO₂ 95%. She is confused with a history of Alzheimer's dementia. For this patient, it is most important to evaluate for:

Question

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The patient's symptoms suggest dehydration, which can be caused by excessive diarrhea. Dehydration can have serious consequences in older adults, leading to changes in mental status, rapid heart rate, and low blood pressure. It is important to evaluate hydration status and provide fluid replacement as needed. While other factors may also need to be considered, such as the cause of the diarrhea or the patient's confusion, addressing dehydration is the most urgent concern.

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