The nurse assesses a client who has recently developed nausea and vomiting, blurred vision, and palpitations.The history reveals that the client recently increased the dosage of digoxin

Which of the following age-related changes are most likely related to these symptoms? A) Cerebral cortex changes causing flu-like symptoms
B) Heart changes that are affecting the ability to ingest the digoxin
C) Age-related changes in cortical control of micturition
D) Kidney changes that affect elimination of the digoxin


D
Feedback:
Digoxin, a common drug taken by the elderly, is excreted by the kidneys unchanged. Because kidney filtration decreases with age, toxic levels of this type of medication can occur, causing adverse drug reactions.

Nursing

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A client receiving adalimumab asks the nurse how this drug works to treat her RA. The nurse's response is based on knowledge that biologic response modifiers, the newest of the DMARDs:

a. bind with tumor necrosis factor to block normal inflammatory and immune responses. b. increase the level of TNF to prevent inflammation without altering the body's immune responses. c. block prostaglandins in the joints to decrease inflammation and pain. d. inhibit antibody production as well as the release of enzymes from phagocytizing leukocytes.

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Hypothalamic-pituitary-adrenal (HPA) system abnormalities exist in a large percentage of individuals with what?

a. Schizophrenia b. Major depression c. Mania d. Panic disorder

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The parents tell a nurse "our child is having some short-term negative outcomes since the hospitalization." The nurse recognizes that what can negatively affect short-term negative outcomes? (Select all that apply.)

a. Parents' anxiety b. Consistent nurses c. Number of visitors d. Length of hospitalization e. Multiple invasive procedures

Nursing

In the developing fetus, bones:

a. Begin as cartilageB. Begin as connective tissueC. Complete epiphyseal fusion D. Complete ossification

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