Which statement made by a nurse best indicates an understanding about the nurse's role in medication management for the older adult client?

Question

1. "In the client with new onset constipation, I'll advocate for a daily laxative dose."
2. "When a client has difficulty sleeping, an as-needed dose of a benzodiazepine should be used."
3. "The client with acute pain should get pain medications around the clock and as needed."
4. "I should encourage the person with heartburn to sit up after medications and meals."

Answer 1

4. "I should encourage the person with heartburn to sit up after medications and meals."

Explanation: 1. Polypharmacy is a problem, and laxative use can lead to falls due to bowel urgency. The nurse first suggests bulk such as a bran muffin and a natural laxative such as prune juice, as well as encouraging activity and fluid intake.
2. Hypnotics, benzodiazepines, or antihistamines can help with sleep. However, a natural remedy should be attempted first such as warm milk, a white-noise machine, and avoiding late-day stimulants such as television or coffee use.
3. The client with acute pain should probably get pain medications as needed. Around the clock dosing is usually reserved for those with chronic pain. Other interventions to try for pain include distraction, imagery, and positioning.
4. Antacids have many side effects, such as decreased nutrient absorption. If the client has heartburn at certain times or in relation to certain foods, the nurse suggests sitting up for 30 minutes to an hour after meals, avoiding substances that create symptoms, and eating smaller meals.