💊 NCLEX-RN Exam Prep

The nurse assesses an older adult client who reports feeling weak and dizzy. Which finding is the most reliable indicator of dehydration in this client?

A Dry oral mucous membranes.
B Decreased skin turgor over the forearm.
C Dark, concentrated urine.
D Increased heart rate with orthostatic hypotension.

✓ Correct Answer: Option D

In older adults, skin turgor is less reliable due to decreased elasticity. Orthostatic hypotension with an increased heart rate is a more reliable and critical indicator of fluid volume deficit.

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