The nurse is performing an assessment on an elderly client ...

[Pineapplelove6]

The nurse is performing an assessment on an elderly client admitted for altered mental status.
 
  After assessing the client's vital signs, the nurse notices which of the following signs that might indicate altered fluid balance? (Select all that apply.) 1. Dry oral mucosa
   2. Lower extremity edema
   3. Dark colored urine
   4. Increased heart rate
   5. Increased respiratory rate

Question 2

While discussing the various chemical properties of nutrients in the body, the class discusses the differences between anions and cations. What mineral is the major anion in the extracellular fluid?
 
  A) Calcium B) Chloride C) Chromium D) Choline

[bimper21]

Answer to Question 1

1, 3, 4
Rationale: Elderly clients with an altered mental status are at risk for dehydration. When performing a physical assessment there are several signs that may indicate that the client has an altered fluid status including: dry oral mucosa, dark colored urine, and increased heart rate. Lower extremity edema is linked to excess fluid volume and increased respiratory rate is not affected by hydration status.

Answer to Question 2

B
Feedback:
Chloride is the major anion in the extracellular fluid, where it helps to maintain fluid and electrolyte balance in conjunction with sodium.

[Pineapplelove6]

TYSM

[atrochim]

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