Which statement made by the older adult client alerts the nurse to assess specifically for fluid and electrolyte imbalances?*1 pointa. "My skin is always so dry, especially here in the Southwest."b. "I often use a glycerin suppository for constipation."c. "I don't drink liquids after 5 PM so I don't have to get up at night."d. "In addition to coffee, I drink at least one glass of water with each meal."

Indicate the possible fluid and electrolyte imbalance associated with each assessment finding: Example: Weight loss of 6% to 9%: Fluid Volume Irritability: Lethargy: Sticky, dry mucous membranes: Low blood pressure: Increased respiratory rate: . Crackles: Anorexia Abdominal cramps: Poor skin turgor: Oliguria or anuria: Increased specific gravity: Muscle cramps, tetany: Hypertonicity of muscles on palpation: Decreased or absent deep tendon reflexes:

Which item of assessment data obtained by the home care nurse suggests that an older adult client may be dehydrated?*1 pointa. The client has dry, scaly skin on bilateral upper and lower extremities.b. The client states that he gets up three or more times during the night to urinate.c. The client states that he feels lightheaded when he gets out of bed or stands up.d. The nurse observes tenting on the back of the hand when testing skin turgor.

A client is being discharged with mild dehydration. Which statement by the client indicates an understanding of measures to prevent mild dehydration from becoming more severe?*1 pointa. "I will weigh myself at the same time daily wearing the same clothes."b. "When I feel lightheaded, I will drink a full glass of water."c. "I will decrease my fluid intake if my urine output increases."d. "If I forget to take my diuretic, I will take twice the dose next time."

A client is being treated for dehydration. Which statement made by the client indicates understanding of this condition?*1 pointa. "I must drink a quart of water or other liquid each day."b. "I will weigh myself each morning before I eat or drink."c. "I will use a salt substitute when making and eating my meals."d. "I will not drink liquids after 6 PM so I won't have to get up at night."

A nurse is caring for several clients at risk for overhydration. The nurse assesses the older client with which finding first?*1 pointa. Has had diabetes mellitus for 12 yearsb. Uses sodium-containing antacids frequentlyc. Just received 3 units of packed red blood cellsd. Had abdominal surgery and has a nasogastric tube