A client with Alzheimer disease in an assisted living complex has been treated for dehydration because of not drinking fluid unless it is offered. Which approach should the nurse use to monitor this client's hydration status?
a. Monitor weight daily
b. Monitor input and output
c. Offer coffee several times a day
d. Provide a pitcher of water and track how much is consumed.
b. Monitor input and output
Clients with Alzheimer disease often have a blunted response to thirst and need to be monitored closely to avoid dehydration. Keeping a record of the daily intake and output will provide a tool for determining fluid needs. Coffee has been linked with water loss and may exacerbate the situation. Dependency on others for fluids is always a risk for dehydration, and frequent reminders and coaching is needed even if fluids are in the proximity.
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