A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxy-methamphetamine.
Which of the following findings should the nurse expect?

Choice A rationale:

While vitamin D is essential for bone health and wound healing, it is not the primary nutrient to focus on in this case. Protein plays a crucial role in wound healing because it is necessary for tissue repair and the production of collagen, which is essential for wound closure.

Choice B rationale:

Increasing protein intake is the correct choice. Proteins are the building blocks of tissue repair and wound healing. Adequate protein intake is essential for promoting the healing of open wounds.

Choice C rationale:

Calcium is important for bone health but is not the primary nutrient to address in this situation. Calcium is not directly involved in wound healing processes.

Choice D rationale:

Fats are necessary for overall health, but they do not have a direct role in wound healing. Protein intake is more critical in this context to promote tissue repair and healing.

Choice A rationale:

This is the correct answer. Older adults often experience decreased kidney function as a normal part of aging. Medications that are excreted primarily by the kidneys may require dosage adjustments to prevent potential toxicity.

Choice B rationale:

Increased liver function is not a typical physiological change in older adults. Liver function tends to decrease with age, which can affect the metabolism and clearance of certain medications.

Choice C rationale:

Increased metabolism is not a common physiological change in older adults. Metabolic rate tends to decrease with age, which can affect the metabolism of drugs.

Choice D rationale:

While pulmonary function may decrease with age, it is not the primary physiological change to consider when administering medications to older adults. Kidney function is a more critical factor in medication dosing for this population.