The nurse plans to closely monitor an older adult client who is receiving multiple drugs for evidence of adequate excretion of the medications

Which two major organs affecting drug clearance from the body should be monitored when an older adult client is receiving multiple drugs?
a. Kidneys and lungs
b. Kidneys and pancreas
c. Liver and pancreas
d. Liver and kidneys


ANS: D
The older adult client may experience a decrease in hepatic enzyme production, hepatic blood flow, and total liver function. These decreases cause a reduction in drug metabolism. A decrease in renal blood flow and decrease in glomerular filtration rate of 40% to 50% can also occur.

Nursing

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The student nurse is preparing to insert the otoscope into the adult client's ear. Which statement by the student nurse indicates the need for further education?

1. "I'm going to use the largest speculum that will fit easily into the ear canal." 2. "I'm going to prepare to insert the otoscope by pulling the pinna down and back." 3. "The tympanic membrane should look gray and translucent." 4. "I will ask the client to perform the Valsalva maneuver so that I can see how well the tympanic membrane moves."

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The nurse is concerned about an older adult patient developing toxic levels of the prescribed theophylline when it is determined that the patient has a(n)

a. one pack a day smoking habit. b. elevated serum potassium level. c. history of chronic bronchitis. d. chronic, nonproductive cough.

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Fractions cannot be used to show the relationship between part of a group and the whole group

Indicate whether the statement is true or false

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Thermal injuries result from chemicals splashing on the skin

Indicate whether the statement is true or false

Nursing