Adult Health 1: Care of the Older Adult- Questions and Answers Care of the Older Adult 1.You are performing an admission assessment on an older adult patient newly admitted for end-stage liver disease. What principle should guide your assessment of the patients skin turgor? A. Overhydration is common among healthy older adults. B. Dehydration causes the skin to appear spongy. D. Skin turgor cannot be assessed in patients over 70. Ans: C. Inelastic skin is a normal change of aging. However, this does not mean that skin turgor cannot be assessed in older patients. Dehydration, not overhydration, causes inelastic skin with tenting. Overhydration, not dehydration, causes the skin to appear edematous and spongy. 2.The community health nurse is performing a home visit to an 84-year-old woman recovering from hip surgery. The nurse notes that the woman seems uncharacteristically confused and has dry mucous membranes. When asked about her fluid intake, the patient states, I stop drinking water early in the day because it is just too difficult to get up during the night to go to the bathroom. What would be the nurses best response? A.I will need to have your medications adjusted so you will need to be readmitted