Which Item of Assessment Data Obtained by the Home Care

question 26

Multiple Choice

Which item of assessment data obtained by the home care nurse suggests that an older adult client may be dehydrated?

• A) 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.

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Definitions:

Schizophrenic Disorders

Schizophrenic disorders encompass a range of mental health conditions characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions.

Irrational Thinking

Irrational thinking involves patterns of thought that are unrealistic, biased, or based on incorrect assumptions, often leading to negative emotional outcomes or flawed decision-making.

Hallucinations

Perceptions or sensations experienced without an external source, often auditory or visual, and common in certain psychological disorders.

Disturbed Emotion

Emotional states that are intensely negative, disordered, or out of the ordinary, affecting a person's well-being and functioning.