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 ["C","D"]
Explanation
A. Long-term memory
Generally stable, but not increased with age; may decline with pathology.
B. Functional ability of brain cells
Decreases with age due to neuron loss and slower neurotransmission.
C. Loss of neurons (brain cells)
There is a natural increase in the loss of brain cells with age.
D. Calcification of coronary arteries
This increases with age and contributes to cardiovascular disease risk.
E. Vital capacity
Decreases with age due to reduced lung compliance and muscle strength.
F. Conduction speed associated with synaptic transmission
Slows with age due to degenerative neural changes; it does not increase.
Correct Answer is ["A","C","D","E"]
Explanation
A. Reduced blood flow through the liver
Decreases the liver’s ability to metabolize drugs, leading to prolonged drug action or toxicity.
B. Decreased body water
Affects drug distribution, especially water-soluble drugs, but not inactivation directly.
C. Decreased liver size
Smaller liver has less functional tissue, reducing metabolic capacity for drug inactivation.
D. Reduced liver enzyme activity
Enzymes involved in drug metabolism are less active, delaying inactivation.
E. Decreased renal function
Affects elimination of drugs and prolongs drug action, especially those excreted unchanged by kidneys.
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