A nurse is caring for a client who has COPD. The nurse should identify the client is at

A. Moist skin: Dehydration typically causes dry skin due to reduced fluid volume, not moist skin. This finding is not expected in a dehydrated client.

B. Dark-colored urine: Dark-colored urine is a common sign of dehydration, as the urine becomes more concentrated when the body conserves water. This finding is expected.

C. Distended neck veins: Dehydration typically causes flat or collapsed neck veins due to decreased blood volume. Distended neck veins are more associated with fluid overload or heart failure. This finding is not expected.

D. High blood pressure: Dehydration often leads to low blood pressure due to reduced blood volume. High blood pressure is not typically associated with dehydration.

A. "I will need to empty my bladder regularly and completely." Regular and complete bladder emptying helps to flush bacteria from the urinary tract, reducing the risk of UTIs. This statement indicates correct understanding and does not need further teaching.

B. "I will need to wipe my perineal area from back to front after urination." Wiping from back to front can introduce bacteria from the rectal area into the urethra, increasing the risk of UTIs. The correct practice is to wipe from front to back. This statement indicates a need for further teaching.

C. "I need to drink 8 cups of liquid each day." Adequate fluid intake helps to dilute urine and flush out bacteria, reducing the risk of UTIs. This statement is correct and does not need further teaching.

D. "I will need to drink apple cider vinegar each day." Although apple cider vinegar is sometimes suggested as a home remedy, there is no strong evidence supporting its use in UTI prevention. However, this statement does not indicate a harmful practice and may not necessarily need further teaching unless it is replacing evidence-based methods. The key incorrect statement is related to wiping technique.