A nurse is reviewing an older adult patient's chart before giving medications. Which patient information is of most concern?
a. Chronic constipation
b. Increased body fat
c. Low serum albumin
d. Low serum creatinine
C
Low serum albumin reduces protein binding of drugs and can cause levels of free drug to rise, increasing the risk of toxicity. Altered gastrointestinal (GI) absorption is not a major factor in drug sensitivity in the older adult, although delayed gastric emptying can delay drug responses. Increased body fat can alter drug distribution, causing reduced responses in lipid-soluble drugs. Low serum creatinine is a function of decreased lean muscle mass and does not reflect kidney function or drug excretion.
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A female client disclosed to the nurse that she is in an abusive situation. This information will be used to contribute to:
1. Axis IV. 2. Axis III. 3. Nothing, since this is confidential information and should not be shared. 4. Axis I.
Which group established a standard of professional performance focused on the nurse's collaboration with clients, families, and other healthcare professionals?
1. The National Council of State Boards of Nursing 2. The National League for Nursing 3. The American Association of Colleges of Nursing 4. The American Nurses Association
What priority assessment data should be shared with the interdisciplinary team from a client admitted to the emergency department with a lacerated artery?
a. Information regarding next of kin to notify in case the client dies b. History about what medications the client is currently taking c. Measurement of blood pressure and pulse d. Assessment of rate and depth of respirations
The nurse would point out to a client that the advantage of magnetic resonance spectroscopy (MRS) is that the procedure
a. assesses markers for neurodegenerative diseases. b. can be used during pregnancy. c. provides detailed images of bone tissue. d. uses only small doses of radiation.