Nurses working with older adult patients must remember which factors about their kidney function and administration of their medications? (Select all that apply.)
a. Older adult patients are all alike with regard to kidney function and medications.
b. Drugs excreted by the kidney must be assessed individually in older adults.
c. The nurse should remember factors about liver function only and not kidney function in older adults.
d. Longer dosage intervals and lower doses are generally appropriate for older adults with kidney damage.
e. With older adults, creatinine clearance values help measure kidney function.
ANS: B, D, E
The important factors to remember when caring for older adult patients taking drugs that will be excreted from the kidney are to monitor these patients individually, follow creatinine clearance as prescribed by the health care provider, and expect that lower doses or longer intervals between doses may be ordered for patients with possible kidney damage.
You might also like to view...
A nursing student has complimented an elderly female client on her elaborate diamond ring. The client replies, "That was a gift from my late husband. He was a wonderful man
"The client then pauses and the nursing student notices a tear in her eye. Which of the following actions best demonstrates empathy? A) Tell the client, "I'll give you some privacy" and quietly leave the room. B) Ask the client, "Are you feeling sad because your husband died recently?" C) Stay silent for a moment and allow the client to gather her thoughts. D) Ask the client if she would like to have a visit from the chaplain or a counselor.
The prenatal nurse has reviewed a patient's 3-day diet recall and notes that the patient typically eats a deli meat sandwich or hot dog, chips, and an apple for lunch
Breakfast consists of cereal, milk, and juice; and dinner contains meat, a starch, vegetables, and a salad. What action by the nurse is most important? . A. Advise the woman to obtain more calories from protein. B. Assess the woman's knowledge of proper food handling. C. Discuss adding fish such as tuna or swordfish to the diet. D. Weigh the woman and document her weight in the chart.
Which of the following is not considered an entrance skill?
1. A smile 2. Gait and body position 3. A firm handshake 4. Manner of dress
How does massage help clients with tension headaches?
A) Reduces hypotension C) Relaxes muscles B) Increases appetite D) Relieves migraines