An older patient has a pressure ulcer that is resistant to ...

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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.

Question 2

When administering medications to older adults, the nurse shows an understanding of the effect of aging on drug distribution by monitoring the patient's
 
  a. cardiac function.
  b. liver function.
  c. red blood cell count.
  d. plasma albumin levels.

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Answer to Question 1

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.

Answer to Question 2

D
With age, particularly for malnourished or frail adults, plasma albumin levels may drop and therefore should be monitored. As a result of decreased sites for protein binding, the activity of highly protein bound drugs, and any side effects caused by these drugs may be increased. The other options may be appropriate for specific drugs, but not in general.

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TYSM

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