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The Nurse Is Performing a Head-To-Toe Assessment on an Older

Question 25

Multiple Choice

The nurse is performing a head-to-toe assessment on an older adult client who was admitted to the hospital with dehydration. Which findings are consistent with this condition?


A) Tenting noted on dorsal aspect of client's hand when skin turgor was assessed.
B) Client has produced 175 milliliters of urine over the last 8 hours.
C) Dentures are loose, small sores noted in oral mucosa.
D) Healthcare provider notes client is exhibiting xerostomia.
E) Client's apical heart rate is 82 beats per minute.

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