The nurse assesses the fluid volume status of a 72-year-old ...

[londonang]

The nurse assesses the fluid volume status of a 72-year-old client who takes Lasix (furosemide) and Pacerone (amiodarone). Which of the following is the most reliable method for assessing this client's skin turgor?
 
  A) Ask the client to open the mouth and examine the oral mucous membranes for dryness.
  B) Examine the skin on the lower legs and look for dry, scaly, or rough skin.
  C) Gently pinch the skin on the abdomen to see how long it takes to return to normal.
  D) Squeeze the skin on back of hand to see if it remains pinched or is slow to return to normal.

Question 2

Which of the following hospitalized older adults is at greatest risk for in-hospital hip fractures from a fall?
 
  A) A 79-year-old client
  B) A client receiving numerous cardiac medications
  C) A client with a history of hip fractures from a fall
  D) A client with new-onset dementia

[Silverbeard98]

Answer to Question 1

Ans: C
Skin turgor should be checked over protected areas, such as the sternum or abdomen. The use of diuretics can exacerbate xerosis that older adults may have. Diuretics and amiodarone increase the risk for photosensitivity.

Answer to Question 2

Ans: C
Prior fracture almost doubles the risk for another fracture. The older the client, the higher the risk. Medications with adverse reactions do increase the risk, and dementia especially moderate to severe increases risk.

[londonang]

Correct answers!

[Silverbeard98]

Great! Please up vote