During an assessment, the nurse becomes concerned that an older adult client is at risk for dehydration. Which did the nurse assess to come to this conclusion?
A) Poor skin turgor
B) Ingests 2 glasses of water each day.
C) Blood pressure 140/98 mmHg
D) Body mass index 20.5
Answer: B
A poor intake of water could indicate a loss of the thirst response, which occurs as a normal age-related change. Since the client only ingests 2 glasses of water each day, this could indicate a reduction in the normal thirst response. Skin turgor is a poor indicator of fluid balance in an older adult client. An elevated blood pressure could indicate fluid volume overload or sodium sensitivity. A body mass index within normal limits would not contribute to dehydration. A body mass index associated with overweight or obesity could be associated with dehydration, as fat cells contain little or no water.
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