An elderly patient tells the nurse that she had taken a certain medication for blood pressure control in her 30s but it had been changed
Now that the physician prescribed the same medication that she had taken in the past, she is experiencing an increase in side effects. The nurse realizes this increase in medication side effects is most likely because of 1. an increase in the permeability of the blood brain barrier.
2. reduced oral intake.
3. medications being manufactured in stronger doses.
4. the patient confusing the medication being prescribed today with the one that she used to take.
1
Rationale: Changes occur in the neurological system with aging. One of these changes is an increase in the permeability of the blood brain barrier. With this increase in permeability, medications may cross into the brain easily, increasing the risk of side effects or toxicity. There is no evidence to suggest that the patient has a reduced oral intake or that the patient is confusing the medication prescribed today with one that she had taken in the past. There are stringent medication manufacturing standards so the option that medications being manufactured today have stronger doses is an incorrect assumption.
You might also like to view...
You are taking a class on chemical disasters with your local emergency response team. What toxins would you be learning about? Select all that apply
A) Blistering agents B) Psychologic agents C) Contact emulsifiers D) Nerve agents E) Cyanide
A patient says, "I went out drinking only one time last week. At least I'm trying to change." The nurse responds, "I appreciate your effort, but you agreed to abstain from alcohol completely." The nurse is
a. using cognitive restructuring. b. preventing manipulation. c. showing empathy. d. using flooding.
After a need and a client demand for a program have been determined through the needs assessment process, the next step in the development of the program is to choose a procedural method that will assist the nurse in planning the program to be offered
Which of the following are possible planning methods? Select all that apply. 1. Program planning method (PPM) 2. Multiattribute utility technique (MAUT) 3. Sustainability method 4. Effectiveness method
A patient comes to the clinic several days after an outpatient surgical procedure complaining of swelling and pain at the surgical site. The primary care NP notes a small area of erythema but no abscess or induration. The NP should:
a. prescribe TMP-SMX. b. prescribe topical mupirocin four times daily. c. suggest that the patient apply warm soaks three times daily. d. refer the patient to the surgeon for further evaluation.