The client is elderly. The client has been admitted to the hospital with diarrhea and fever. Which of the following findings by the nurse indicate the client is dehydrated? (Select all that apply.)
1. The client is agitated and restless.
2. The client's urine is very dark yellow.
3. The client is experiencing orthostatic hypotension.
4. The client has gained weight since admission.
5. The client's mucous membranes are moist.
2, 3
Rationale: This client with diarrhea and fever has an increased risk of developing dehydration. Many clients complain of a headache and will be lethargic with dehydration. They are less likely to become restless and agitated. A dehydrated client's urine is more concentrated and darker in color. The client's fluid balance is decreased and their blood pressure may reflect orthostatic hypotension with postural changes. Clients lose weight with dehydration due to fluid losses. Their mucous membranes will be dry due to dehydration.
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