The daughter of an 80-year-old woman states that her mother has been taking alendronate (Fosamax) for several years for the treatment of osteoporosis
The daughter tells the nurse that her mother never had any complaints of nausea after taking this medication until recently. How should the nurse respond to the daughter's statement? A) "It could be that your mother's stomach empties more slowly than it used to, which is a normal result of aging."
B) "As your mother gets older, the medication travels down her esophagus more slowly than it used to. This can cause nausea."
C) "Because your mother processes drugs more slowly than when she was younger, there is more time during which they can cause nausea."
D) "As your mother ages, she has more of the receptors that trigger nausea. This is a normal change that accompanies the aging process."
A
Feedback:
Diminished gastric emptying also plays a role by causing the medication to be in the stomach for a longer period. This factor increases the risk of developing nausea and vomiting, thus causing elimination of the medication in emesis and promoting fluid volume deficit. This phenomenon is not attributable to receptor changes or decreased esophageal motility.
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