An RN is assessing a 70-year-old client admitted to the unit with severe dehydration. Which finding requires immediate intervention by the nurse?
A. Client behavior that changes from anxious and restless to lethargic and confused
B. Deep furrows on the surface of the tongue
C. Poor skin turgor with tenting remaining for 2 minutes after the skin is pinched
D. Urine output of 950 mL for the past 24 hours
Answer: A. Client behavior that changes from anxious and restless to lethargic and confused
You might also like to view...
Which of the following patients with diarrhea would be most likely to be prescribed octreotide (Sandostatin)?
A) A child who has been diagnosed with E. coli infection B) An older adult who has been abusing laxatives for several months C) A teenage patient who has been diagnosed with ulcerative colitis D) A patient with HIV/AIDS who has developed intractable diarrhea
The nurse is concerned that an older patient with dementia receiving psychotropic medications for sleep is experiencing side effects. What did the nurse assess in this patient? Standard Text: Select all that apply
1. Dizziness 2. Constipation 3. Hallucinations 4. Daytime lethargy 5. Problems swallowing
To what age group does the term "aged" apply?
a. 55–64 years of age b. 65–74 years of age c. 75–84 years of age d. 85 and older
Communication is:
a. The verbal account of care and observa-tions b. The written account of care and observa-tions c. The medical record d. The exchange of information