The nurse is performing a nutritional assessment for an older adult who takes no medications. Which of the following laboratory values is of most concern to the nurse?
1. Albumin 4.2 gm/L
2. Prealbumin 322 mg/L
3. Transferrin 400 mg/dL
4. Cholesterol 114 mg/dL
4
Rationale: Normal albumin levels are 3.5–5.0 gm/L. Normal prealbumin levels are 150–350 mg/L. Normal transferrin levels are above 200 mg/L. Decreased cholesterol levels in older adults, who do not take cholesterol-lowering medications, are associated with an increased risk of morbidity and mortality.
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An 84-year-old patient who has returned from the PACU is oriented to name only and has been diagnosed with delirium. The nurse should explain the following to the patient's family:
A) There is nothing to worry about. B) Delirium involves a progressive decline in memory loss. C) Delirium may only last a short time. D) Delirium is generally more prevalent in women.
What drug would the nurse administer for its antiplatelet effects? (Select all that apply.)
A) Ticlid B) Iprivask C) Arixtra D) ReoPro E) Activase
With anaphylactic shock, which mechanism results in a decreased cardiac output?
a. Peripheral vasodilation b. Increased cardiac output c. Decreased alveolar ventilation d. Fluid retention resulting in congestive heart failure
A patient with delusions of persecution about being poisoned has refused all hospital meals for 3 days. Which intervention is most likely to be acceptable to the patient?
a. Allowing the patient to have supervised access to food vending machines b. Allowing the patient to telephone a local restaurant to deliver meals c. Offering to taste each portion on the tray for the patient d. Providing tube feedings or total parenteral nutrition