Question

5. A malnourished elderly client has a low serum albumin level. What is the implication
of this finding? (Select only ONE answer)

a.		Low serum albumin levels will lead to receptor disintegration so more medication will be needed.
b.		Protein insufficiency can lead to loss of metabolizing enzymes and consequential decrease in drug levels.
	c.	Less protein binding will occur and more medication will be free to bind with target receptors. This may cause excessive effects.
	d.	Blood brain crossover will be impaired. Albumin is a lipid. More medication will be needed.

6. A laboring mother wants to know why pain medication is not advisable. What
rationales could the nurse offer to explain this? (Select all that apply.)

a.		The blood brain barrier of a fetus is not fully developed so the fetus is at risk for sedation.
b.		The liver of a fetus is not well developed so the effects of sedation could linger in the fetus.
c.		Epidural anesthesia offers an alternative that will not harm the fetus.
d.		The fetus will not be able to eliminate the medication until it has its first stool

Answer 1

5.)

b.

Protein insufficiency can lead to loss of metabolizing enzymes and consequential decrease in drug levels. Hypoalbuminemia occurs when you don’t have enough of the protein albumin in your bloodstream.This would lead to loss of essential enzymes and loss of function 6.) a,c The epidural route is frequently used by many nurse anaesthetists and physicians to administer local anaesthetic agents to the patient. These are also preferred as they don bring pain to body