An older patient has a pressure ulcer that is resistant to healing despite aggressive therapy. The nurse suspects the need for a protein supplement based on a(n)

a. serum creatinine level of 1.1 mg/dL.
b. acid phosphate level of 0.9 U/L.
c. folate level of 18.2 ng/mL.
d. serum albumin level of 3.1 g/dL.


D
In older adults with impaired skin integrity related to pressure ulcers, assessment of the albumin level helps determine whether the protein balance is correct for proper wound healing to occur. Older adults with low albumin levels need nutritional support to promote healing of wounds. The other lab values are not related.

Nursing

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The nurse is comparing and contrasting examples of health promotion and health education to a group of student nurses. Which topic is most appropriate to include in health education?

1. Political lobbying. 2. Raising critical consciousness. 3. Developing self-care skills. 4. Developing public policy.

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The nurse is describing the manifestations of myxedema coma to a patient with hypothyroidism. What should the nurse identify as precipitating factors for this health problem?

Select all that apply. 1. gastrointestinal bleeding 2. pneumonia 3. excessive use of thyroid replacement medications 4. excessive use of central nervous system stimulants 5. exposure to excessive heat and humidity

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_________ _______ _______ are unintended, undesirable, and often unpredictable

Fill in the blank(s) with correct word

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Effects from stroke often include which of the following?

a. Loss of face, hand, arm, leg, or body con-trol b. Dysarthria c. Constipation d. Tremors and stiff muscles

Nursing