[Verified Answer]: An 88-year-old male was admitted to the…

An 88-year-old male was admitted to the medical-surgical unit yesterday for dehydration and failure to thrive. The client lived at home alone and was found wandering the neighborhood by a son, who brought the client to the emergency department for evaluation. The client has a history of benign prostatic hyperplasia, mild dementia, hypertension, constipation, and a fall last month that did not result in serious injury. Home medications include tamsulosin 0.4 mg daily, lisinopril 10 mg daily, and docusate sodium 100 mg daily as needed for constipation. The nurse is assessing the client. Which cue(s) require follow-up or other interventions by the nurse? Select all that apply. Heart rate 105 beats/minute Use of tamsulosin Weak extremities Use of docusate Recent fall history Orthostatic hypotension History of mild dementia