An 80-year-old woman who lives alone in a rural area was brought to the clinic by a neighbor after reporting several recent falls
When talking with the nurse she denied any injuries, but said that she recently began to feel dizzy when she gets out of bed or a chair. The nurse is concerned that she may be dehydrated when she notices that the client: (Select all that apply.) 1. Has lost over 8 pounds since last month.
2. Has an increased heart rate.
3. Appears to be slightly confused.
4. Has a lower blood pressure than normal.
5. Has lower extremity edema.
1, 2, 3, 4
Rationale: Symptoms of dehydration can include sudden weight loss, increased heart rate, confusion, tachycardia, and hypotension. The elderly are at an increased risk for dehydration due to blunted thirst perceptions. The recommended fluid intake for females is 2.7 L/day. Edema results from a fluid overload rather than dehydration.
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