Practice Question
When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)
Answer Choices:
Correct Answer:
Heart failure.
Rationale:
Heart failure
🔷 Clients with heart failure often experience fluid restrictions or are prescribed diuretics, which increase urinary output and risk of dehydration.
🔷 Reduced cardiac output leads to decreased renal perfusion, impairing fluid balance.
🔷 Symptoms such as fatigue or dyspnea may also discourage adequate fluid intake.
🔷 Elderly clients with heart failure are especially vulnerable due to diminished thirst sensation.
Functional impairments
🔷 Older adults with mobility limitations, arthritis, or cognitive decline may have difficulty accessing fluids independently.
🔷 Dependence on caregivers increases the risk of inadequate fluid provision.
🔷 Functional impairments are a major contributor to chronic dehydration in long-term care settings.
🔷 Encouraging assistance with hydration routines can prevent complications such as urinary tract infections or hypotension.
Diabetes
🔷 Diabetes increases the risk of dehydration due to polyuria from hyperglycemia.
🔷 Elevated blood glucose levels cause osmotic diuresis, leading to fluid loss.
🔷 Neuropathy may blunt thirst perception, making the client unaware of fluid needs.
🔷 Dehydration worsens glycemic control, increasing the risk of diabetic ketoacidosis (DKA) in uncontrolled diabetes.
Want to practice more questions like this?
This question is from Smith Chason College- NURS 146 Gero Final Exam which contains 93 questions.
More Questions from This Exam
Diabetes, dementia, Parkinson’s disease, stroke, and vitamin B deficiencies may cause neurological damage leading to what condition?
Answer Choices:
Which of the following is a true statement concerning suicide among older adults?
Answer Choices:
When teaching a client about foods that do not increase blood glucose, which should the nurse include?
Answer Choices:
Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. As a nurse, what do you know you must do to prevent pressure ulcers? (Select all that apply.)
Answer Choices:
An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)
Answer Choices:
From Exam
Smith Chason College- NURS 146 Gero Final Exam
93 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Adult Health
- Answer Choices: 5