Isky, a 65-year-old female, is admitted to the hospital after experiencing sudden weakness or and numbness on the right side or of her body, along with difficulty speaking. Isky has a medical history that includes hypertension, diabetes mellitus, and smoking. This type Which of stroke is Isky most likely experiencing based on the sudden onset of her symptoms?

Choice A reason: Vitamin D deficiency affects calcium and bone health, not creatinine or BUN levels, which reflect kidney function. Elevated BUN and creatinine point to dehydration or kidney issues, so this is incorrect for the lab findings.

Choice B reason: Elevated creatinine and BUN indicate dehydration or kidney dysfunction, as these markers rise when kidneys fail to clear waste or when blood volume is low. This matches the patient’s symptoms, making it the correct choice.

Choice C reason: Respiratory acidosis affects blood pH and CO2, not creatinine or BUN, which are renal markers. Kidney dysfunction or dehydration better explain the lab results, so this is incorrect for the findings.

Choice D reason: Liver failure may elevate other markers (e.g., bilirubin), but BUN and creatinine are kidney-specific. Dehydration or kidney dysfunction align with the labs and symptoms, so this is incorrect.

Choice A reason: Insufficient mast cell numbers are not a primary cause of impaired healing in older adults. Mast cells contribute to inflammation, but chronic diseases like diabetes disrupt multiple healing pathways more significantly, making this incorrect.

Choice B reason: Circulatory impairment, such as atherosclerosis, can delay healing by limiting oxygen and nutrient delivery. However, it’s often a consequence of chronic illnesses like diabetes, which broadly affect healing, making this less primary than chronic conditions.

Choice C reason: Underlying chronic illnesses, like diabetes or cardiovascular disease, impair inflammation and wound healing in older adults by disrupting immune function, collagen deposition, and perfusion. These prevalent conditions directly impact healing, making this the correct cause.

Choice D reason: Complement and chemotaxis deficiencies occur in specific immunodeficiencies, not commonly in aging. Chronic illnesses like diabetes more consistently impair healing through systemic effects, making this a less likely primary cause.