Hydration Management and Dehydration

Which statement best defines hydration management in older adults?

• Maintaining a fixed daily water intake for all adults

• Promotion of an adequate fluid balance to prevent complications from abnormal fluid levels

• Eliminating diuretic medications to avoid fluid loss

• Using IV fluids routinely to ensure overhydration

According to the material, dehydration is clinically defined as:

• A temporary rise in body temperature

• A complex condition resulting in a reduction in total body water

• An electrolyte imbalance without fluid loss

• Any urine output less than 500 mL/day

Which combination most accurately explains why many older adults are at risk for fluid balance changes?

• High physical activity and increased sweating

• Age-related changes, medication use, functional impairments, and comorbid illnesses

• High fluid intake and frequent urination

• Genetic predisposition alone

Which statement about dehydration in older adults is correct?

• It is most often due to neglect

• It commonly results from increased fluid losses combined with decreased intake related to decreased thirst

• It rarely coexists with other illnesses

• It is defined primarily by electrolyte abnormalities

Which is listed as a risk factor for dehydration?

• High body weight

• Use of four or more medications

• Low environmental humidity

• Daily exercise

Which medication class is specifically named as a risk factor for dehydration?

• Proton pump inhibitors

• Angiotensin-converting enzyme (ACE) inhibitors

• Antibiotics

• Statins

Which functional or cognitive issue increases dehydration risk by impairing intake or communication?

• Hyperacusis

• Communication and comprehension problems

• Myopia

• Arthralgia without mobility limitation

Which clinical situation from the list is a dehydration risk because it requires fasting?

• Sleep hygiene program

• Diagnostic procedures

• Group exercise class

• Cognitive behavioral therapy

Select the item correctly represented by the D in the D.E.H.Y.D.R.A.T.I.O.N.S. screening mnemonic.

• Dementia

• Drugs

• Diarrhea only

• Decreased urine output

In the D.E.H.Y.D.R.A.T.I.O.N.S. screen, what does the letter T stand for?

• Tremor

• Tachycardia

• Tears absent

• Thirst