Ati nur 250 med surg proctored exam(clinical nursing practicum)
A nurse is performing an admission assessment on a client. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
Explanation & Rationale
A. BP 178/90 mm Hg Indicates hypertension, not dehydration. B. Low body temperature Not associated with dehydration; fever is more common. C. Skin tenting present Skin tenting is a classic sign of dehydration due to reduced skin turgor. D. Jugular vein distention Sign of fluid overload or heart failure, not dehydration.
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