Answer:
B. dry cracked lips
C. non-elastic turgor with prolonged tenting
Explanation:
During extreme dehydration, mucous membrane that appears at lining of body tract e.g (nose, mouth, trachea, eyelids etc) dries off and also lips looks dried out and cracked.
Also, the nurse making documentation should also check for the skin tugor, the tissue in the skin should also return quickly to its original position, if not, a decreased skin turgor have occurred, which is a factor that results into dehydration. Prolonged "tenting" indicates dehydration. Clinical signs of dehydration may include prolonged skin tenting.
Regularly wiping down tables and chairs will help to decontaminate the surfaces so they can be safer to place other items on them.
The Client condition might have a decrease in cones or Color
blindness. Color blindness is a genetic condition caused by a difference in how
one or more of the light-sensitive cells found in the retina of the eye respond
to certain colors. There are two types of a light –sensitive retina of the eyes
this cells are called rods and cones. These is a sensetive wavelengths of
light, and enable the retina to determine between colors.
