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    Ati nurs 250 med surg Proctored exam

    A nurse is assessing a client who is experiencing dehydration. Which of the following manifestations should the nurse expect?

    Explanation & Rationale

    A. Confusion is a common manifestation of dehydration, especially in older adults or clients with significant fluid loss. Dehydration leads to decreased circulating blood volume and reduced perfusion to the brain, which can impair cognitive function and cause confusion, dizziness, or lethargy. B. Dehydration typically causes tachycardia, not bradycardia. The body compensates for fluid loss by increasing heart rate to maintain cardiac output and blood pressure. Bradycardia is not expected in fluid volume deficit. C. In dehydration, skin turgor decreases, resulting in slow skin recoil when pinched. Rapid skin recoil indicates normal hydration and is not a sign of fluid loss. D. Pale straw-colored urine indicates normal hydration. In dehydration, urine becomes concentrated and darker (amber or dark yellow) due to reduced water content and increased concentration of waste products.

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