An older adult has been prescribed medication to control hypertension. Today she says, "I took this same medication years ago, but I'm having more side effects this time." What should the nurse consider before replying?
1. Many antihypertensive medications have similar names so the patient could have confused the drugs.
2. Older women often decrease oral fluid intake, which would change response to the drug.
3. The older pancreas cannot supply enzymes to metabolize the drugs as early in the digestive system.
4. Changes in the blood-brain barrier may make older patients more sensitive to some side effects.
Answer: 4
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