An older adult client complains to the nurse that a medication is causing significant nausea and vomiting. Which responses by the nurse are appropriate?
1. "A normal consequence of aging is decreased blood flow to the stomach. This could result in the medication staying in your stomach longer, causing nausea and vomiting."
2. "A normal consequence of aging is slowed emptying of stomach contents. This can cause nausea and vomiting."
3. "A normal consequence of aging is slower absorption of medications, resulting in nausea and vomiting."
4. "A normal consequence of aging is an increase in liver size, which can result in nausea and vomiting."
5. "A normal consequence of aging is decreased carbohydrate metabolism, which can result in nausea and vomiting."
Correct Answer: 1,2,3
Rationale 1: Decreased blood flow to and from the stomach may delay absorption, resulting in nausea and vomiting.
Rationale 2: Slowed emptying of stomach contents may allow drugs to remain longer in the gastrointestinal tract, resulting in nausea and vomiting.
Rationale 3: When absorption time is decreased, drugs may remain longer in the stomach, resulting in nausea and vomiting.
Rationale 4: The size of the liver does not cause risk for nausea or vomiting.
Rationale 5: Carbohydrate metabolism does not cause risk for nausea or vomiting.
Global Rationale: Decreased blood flow to and from the stomach may delay absorption, resulting in nausea and vomiting. Slowed emptying of stomach contents may allow drugs to remain longer in the gastrointestinal tract, resulting in nausea and vomiting. When absorption time is decreased, drugs may remain longer in the stomach, resulting in nausea and vomiting. The size of the liver does not cause risk for nausea or vomiting. Carbohydrate metabolism does not cause risk for nausea or vomiting.
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