A nurse administers a highly protein-bound medication. Which patient would have the most immediate and powerful effect from this drug?
a. A healthy adolescent
b. A 76-year-old patient with malnutrition
c. A woman in the second trimester of pregnancy
d. An adult with a fractured femur from a sporting accident
B
The older malnourished patient would have fewer serum proteins to bind the drug; therefore, higher amounts of free drug would be available to act immediately. The patients described in the distracters would have normal protein levels, so the drug would be bound.
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