An older adult patient developed delirium secondary to diphenhydramine (Benadryl) use
The patient usually took this drug for allergies but recently added a cough syrup that also contained the drug. What information is most important to teach the family?
a. Older adults are more prone to delirium.
b. The patient is now susceptible to progressive cognitive decline.
c. Toxic medication levels often occur because of slower metabolism in older adults.
d. The older adult brain has fewer neurotransmitters than the brain of a younger person.
C
Older adult patients metabolize drugs more slowly as a result of declining liver function. Excretion might also be slowed. Drugs might accumulate until toxic levels are reached and cognitive symptoms appear. Anticholinergic drugs, antihistamines, and antiarrhythmia drugs are of particular concern. For this reason, families need to be aware of the drugs that older adults are using and the possible interactions among the drugs, and be alert for early symptoms of cognitive disturbance. Although older adults are more prone to delirium, it's important to provide more specific information to the family. None of the other options are correct.
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A) 58.1 B) 59.1 C) 285 D) 286
The nurse caring for a Native American client plans care understanding that one belief of Native American healing practices is which of the following?
A) Modern life facilitates healing agents. B) Healing takes time. C) Balancing yin and yang is important. D) Energy flows through meridians throughout the body.
Which describes the nurse's understanding of the purpose for choosing the names for the colony-stimulating factors?
A. Named according to the interleukins they stimulate B. Named according to the type of blood cells they stimulate C. Named according to the type of neurotransmitters that are stimulated D. Named according to the type of hormones they stimulate
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