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Chapter 13: Assessment and Care of Patients with Fluid and Electrolyte ImbalancesChapter 13: Assessment and Care of Patients with Fluid and Electrolyte ImbalancesTest BankMULTIPLE CHOICE1. The nurse observes skin tenting on the back of the older adult client’s hand. Which action by the nurse is most appropriate?a.Notify the physician.b.Examine dependent body areas.c.Assess turgor on the client’s forehead.d.Document the finding and continue to monitor.ANS: CSkin turgor cannot be accurately assessed on an older adult client’s hands because of age-related loss of tissue elasticity in this area. Areas that more accurately show skin turgor status on an older
SCIENCE
HEALTH SCIENCE
NURSING

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