44. The best indication of dehydration in a client who is 85 years old would be changes in:
Test-Taking Tip
Select the one least effected by changes of aging.
Content Area: Geriatrics, Fluid and Electrolyte Imbalances; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/System Specific Assessments
.
Answer 1 is correct because the normal frequency, quantity, and characteristics of urine (specific gravity) would be the best choice. (Daily weight would be a better choice, if included.) Answer 2 is incorrect because the normal aging process decreases the amount of water in the skin. Answer 3 is incorrect because hematocrit (Hct), not Hgb, responds to changes in hydration. Answer 4 is incorrect because elderly clients are likely to have some degree of hypertension, which would make a change in BP less reliable.
