A nurse is performing an admission assessment on an older patient who presented with a high fever and cough, reduced oral intake for 3 days, and lower extremity weakness

The patient has sunken eyes, and the patient's skin turgor over the sternum is poor. The nurse suspects that the patient is dehydrated. Which of the following are indicators of dehydration in this patient? (Select all that apply.)
a. Poor skin turgor over the sternum
b. Lower extremity weakness
c. High fever
d. Sunken eyes
e. Cough


ANS: B, D
Older adults often present atypically when dehydrated. Skin turgor over the sternum is not a re-liable marker in older adults due to the loss of subcutaneous tissue with aging. Lower extremity weakness and sunken eyes may indicate dehydration. High fever and cough can be associated with many other conditions and are not typically signs of dehydration.

Nursing

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