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    Hesi rn d443 health assessment proctored exam

    When assessing an older adult client, which finding is most indicative of dehydration?

    Explanation & Rationale

    A. Tenting noted in subclavicular area. Tenting, or delayed skin turgor, occurs when the skin remains elevated after being pinched, indicating dehydration. In older adults, the subclavicular area, forehead, or sternum are better sites for assessing turgor because aging causes natural skin changes, making hand turgor less reliable. B. Thinning hair in the lower extremities. Hair thinning on the legs is often due to aging or poor circulation, particularly in conditions like peripheral artery disease (PAD). It is not a primary indicator of dehydration. C. Skin is warm and dry. While dry skin may be a sign of dehydration, it can also result from aging, climate, or other medical conditions. A more definitive assessment for dehydration involves checking skin turgor and mucous membranes. D. Loss of skin elasticity in the hand. Aging naturally reduces skin elasticity, making hand turgor an unreliable indicator of dehydration in older adults. The subclavicular or sternum area provides a more accurate assessment.

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