The nurse was discussing adequate nutritional requirements with the daughter of an elderly client
When the daughter asked about giving her father dietary supplements to ensure that he gets all the necessary nutrients, the nurse responded that older adults are at a greater risk of adverse side effects or drug-drug interactions if they use dietary supplements because: 1. The liver begins to lose effectiveness in the aging and results in alterations in metabolism.
2. The elderly are more likely to have problems with excretion of metabolic by-products.
3. The elderly are more likely to take the supplements incorrectly.
4. They are often taking numerous prescribed medications for several co-morbid conditions.
4
Rationale: The elderly are more likely to have co-morbidities and take multiple prescribed medications increasing the risk for drug-drug interactions and adverse side effects. There is no physiological reason to predict that the liver is less effective in aging adults or that they are more likely to take dietary supplements incorrectly.
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