The nurse is assessing a patient with a 4 day history of diarrhea. The nurse assesses the patient for which of the following?

Explanation

• Tenting of the skin, although not specific, occurs early on due to dehydration caused by prolonged diarrhea or vomiting

• The nurse should also assess for other signs of dehydration such as weight loss, sunken eyes, hypotension, tachycardia, lethargy, and headache

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