When assessing an older adult client, which finding is most indicative of dehydration?

Tenting noted in subclavicular area.

Loss of skin elasticity in the hand.

Skin is warm and dry.

Thinning hair in the lower extremities.

Answer and Explanation

The Correct Answer is A

A.   Skin tenting is a sign of dehydration. It occurs when the skin, after being pinched, does not quickly return to its normal position. This is often seen in areas with loose skin such as the subclavicular region.
B.   Loss of skin elasticity is a normal aging process and not specifically indicative of dehydration. It can be seen in older adults regardless of hydration status.
C.   Warm and dry skin can be a sign of dehydration. Dehydration leads to reduced sweating, which can result in dry skin, and it may also increase the body temperature, making the skin feel warm.
D.   Thinning hair, especially in the lower extremities, is typically associated with circulatory issues or aging. It is not a direct sign of dehydration.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A mole that changes color and size is concerning for melanoma, a type of skin cancer. Immediate evaluation by a healthcare provider is essential for diagnosis and possible biopsy.
B. While sun exposure can increase the risk of skin cancer, the priority is to have the mole evaluated by a healthcare provider rather than focus on past behaviors.
C. Encouraging self-monitoring is not a priority when the mole shows signs of malignancy.
D. Teaching family members to monitor is secondary to seeking professional evaluation.

A. Absent deep tendon reflexes. B. Capillary refill less than 3 seconds. C. 3+ peripheral dependent edema. D. Oxygen saturation of 85%.

Correct Answer is D

Explanation

A. Absent deep tendon reflexes are not typically associated with nailbed clubbing. While reflexes may be diminished in some conditions, they are not commonly related to the pathophysiology behind clubbing.
B. A capillary refill time of less than 3 seconds is a normal finding and does not align with clubbing, which often indicates chronic hypoxia or systemic conditions such as heart or lung disease.
C. Peripheral dependent edema refers to swelling in the lower extremities, which can be associated with circulatory problems, but it is not directly linked to nailbed clubbing. Edema is more common in conditions like heart failure or kidney disease.
D. A low oxygen saturation of 85% is consistent with conditions that cause chronic hypoxia, such as chronic lung disease or congenital heart disease. Chronic low oxygen levels can lead to nailbed clubbing as a compensatory response to inadequate oxygenation.

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When assessing an older adult client, which finding is most indicative of dehydration?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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