What problem should nurses prioritize for assessment in an older adult found wandering who shows signs of confusion and dehydration?

Prioritizing dehydration in an older adult who is wandering and showing signs of confusion is critical because dehydration can significantly impair bodily functions and lead to severe health complications. Older adults are particularly susceptible to dehydration due to physiological changes associated with aging, such as a decreased thirst response and potential medication effects.

In this scenario, confusion may be exacerbated by dehydration, making it essential for nurses to assess and address this issue promptly. Dehydration can contribute to further cognitive impairment, increased risk for falls, and complications such as urinary tract infections or kidney problems. By focusing on dehydration first, the nurse can help restore fluid balance, which may also mitigate confusion and improve the patient’s overall condition.

While malnutrition, potential injuries from wandering, and social isolation are significant concerns, they often develop or become more serious as secondary issues that can be stabilized once immediate physical needs, like hydration, are met. Identifying and treating dehydration can also lay the groundwork for addressing other health concerns later on.