A 72-year-old woman with a 60-pack-year history of cigarette smoking has developed chronic obstructive pulmonary disease (COPD) and has consequently been prescribed albuterol, a beta2-adrenergic agonist
When administering this medication, the nurse should be aware that A) the drug carries a higher potential for hepatotoxicity in this patient than in a younger patient.
B) the drug may be less effective than in a younger patient due to decreased beta-receptor function.
C) the patient will need to take a beta-adrenergic blocker concurrently to mitigate the likelihood of adverse effects.
D) the patient will need to have serial complete blood counts (CBCs) drawn following the initiation of therapy.
B
Feedback:
Beta-adrenergic agonists are less effective in older adults as a result of the decreased function of the beta-receptor system. The potential for hepatotoxicity is not increased, and a beta-blocker is not indicated. Serial blood work is not necessary.
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