An older patient, being prepared for surgery, has a low glomerular filtration rate. Which aspect of the patient's care should the nurse realize this finding will impact?
1. medication dosages
2. postoperative activity level
3. intraoperative bleeding
4. oxygenation status
Correct Answer: 1
Older adults are susceptible to renal insufficiency, which puts them at risk for accumulation of metabolic by-products and medications dependent on renal clearance. Medication dosages will need to be adjusted for the older patient with a low glomerular filtration rate. The glomerular filtration rate will not impact the patient's postoperative activity level, amount of intraoperative blooding, or oxygenation status.
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