The nurse checks the dose of the analgesic for the client, who is 80 years old and wants to collaborate with the provider to adjust the dosage. Which does the nurse use to justify the re-quest?
1. Older adults have higher risks of injury with IM injections.
2. Contraindications to some analgesics exist for older adults.
3. Impaired cognition impairs client pain report by older adults.
4. Liver and kidney metabolism is usually slower in older adults.
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4. As the adult ages, hepatic and renal clearance of medication usually decreases or slows, so medication has a longer duration of action and doses exert a stronger effect than in a younger adult. The nurse helps to maintain client safety and prevent injury by collaborating to adjust the analgesic's dose.
1. Risk of injury from an IM injection refers to the route of medication administra-tion.
2. Contraindications of specific agents relate to the right drug for a client and can in-volve the dosage.
3. The nurse uses the client's self-report to help determine the need for pain relief; reporting pain refers to client assessment.
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