When making a home health visit to a patient, the nurse notices the client’s tongue is slightly cracked and his skin is dry. Of the following, which nursing intervention has the highest priority?
Explanation
•The client is experiencing dehydration and to find fluids choice would be the best answer to
•Signs of dehydration include dry skin, lethargy, dizziness, poor skin turgor, concentrated urine, and dry mouth with cracked lips. The tongue may appear slightly cracked.
•Older individuals often have a diminished thirst sensation or may decrease their fluid intake if they are experiencing poor bladder control. Nurses should explain risk factors associated with dehydration.