The Nurse Is Teaching a Group of Older Adults About

The nurse is teaching a group of older adults about thyroid hormone replacement. The nurse realizes teaching has been ineffective when one participant states that older adults may be at risk for too much thyroid medication in their blood because of which factor?

A) high blood lipid levels
B) less albumin in the blood to bind to thyroid medication
C) kidney alterations that make the organs less efficient at removing medications from the blood
D) polypharmacy, leading to problems with medication dosing and administration