The older patient is visiting the clinic after a fall during the night. Which of the following data points obtained most likely would contribute to this fall?
a. The patient has been taking glucosamine.
b. The patient has been taking a fish oil.
c. The patient has been taking Benadryl (diphenhydramine).
d. The patient has been taking vitamin C.
C
When older adults are using Benadryl (diphenhydramine), an over-the-counter medication for sleep, caution them that they may experience dizziness, drowsiness, confusion, constipation, and urinary retention because of the long duration of action of the medication. This can contribute to a fall in an older adult. Fish oil given for the treatment of cholesterol, although an issue after a fall with potential bleeding, is not a cause for the fall, nor is glucosamine, which is used in the treatment of joint issues. Neither of these substances are utilized for sleep. Vitamin C is used to support the immune system; it is not used for sleep and does not cause falls.
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