The nurse is assisting with the admission of an older adult client who fell at home 3 days ago. The client has a fractured hip, malnutrition, and dehydration. Which of the following lab values should indicate to the nurse that the patient has prolonged malnutrition?
Increased sodium
Decreased albumin.
Increased BUN.
Decreased blood glucose.
The Correct Answer is B
A. Increased sodium
May indicate dehydration, but not specifically linked to malnutrition.
B. Decreased albumin
Albumin is a protein synthesized by the liver; low levels are a key indicator of chronic malnutrition.
C. Increased BUN
May reflect dehydration or renal impairment but not specific to malnutrition.
D. Decreased blood glucose
May occur with fasting or acute illness but not a definitive marker for prolonged malnutrition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Obtain an order from the primary caregiver for a sedative
Not appropriate as a first step; sedatives in the elderly increase the risk of falls and confusion and should only be used after thorough evaluation.
B. Ask the patient if he is sleeping well at night
This helps identify underlying sleep disturbances, such as nocturia or insomnia, which may be the cause of daytime fatigue.
C. Tell the patient that he cannot take any more naps
Restricting naps without assessing the cause of tiredness is inappropriate and may worsen fatigue.
D. Plan activities to keep the patient awake during the day
May be helpful after assessing nighttime sleep habits and determining the cause of daytime drowsiness.
Correct Answer is A
Explanation
A. Macular degeneration
The most common cause of new, irreversible central vision loss in older adults.
B. Glaucoma
Causes peripheral vision loss but progresses slowly and is often asymptomatic early.
C. Cataracts
Cause reversible vision loss that can be corrected surgically.
D. Corneal abrasion
Typically due to trauma or foreign bodies, not an age-related cause of blindness.
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