Decreased renal excretion of drugs
a. Does not affect drug effect
b. Decreases the effect of drugs
c. Is not a concern for older adults
d. Potentially increases the effect of the drug
D
If the ability of the kidney to excrete drugs is decreased, drugs remain in the bloodstream for a longer time in a higher concentration. This situation has the potential to increase the length of the drug's effect and lead to adverse side effects. Responses A, B, and C are incorrect. Altered kidney function with aging is one of the main reasons that older adults require less medication to achieve the desired drug effect.
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The nurse is educating a student on the proper use of an ophthalmoscope for an eye examination. Which statement by the nurse to the student is accurate?
1. "I'm going to examine the client's right eye with my left eye." 2. "I'm going to advance the ophthalmoscope until the instrument touches the client's cornea." 3. "I'm going to begin with the lens set to the 0 diopter." 4. "I can see the red reflex as the light reflects off of the client's lens."
The nurse is caring for a patient who has a diagnosis of paroxysmal nocturnal hemoglobinuria. When planning this patient's care, the nurse should recognize the patient's heightened risk of what complication?
A) Venous thromboembolism B) Acute respiratory distress syndrome (ARDS) C) Myocardial infarction D) Hypertensive urgency
Epistaxis can be a symptom of:
A. Over-anticoagulation B. Hematologic malignancy C. Cocaine abuse D. All of the above
According to Piaget, young school-age children, up to age 7 years, are making a transition to concrete operational thought. A nurse identifies that an example of this would be
1. A child, upon hearing a parent arrange for a babysitter, becoming upset because it means his or her parents are going to leave for the evening. 2. A child becoming more secure about the limits of his or her acceptable behavior. 3. A child no longer believing that an adult dressed in a mouse suit is a giant mouse. 4. A child becoming interested in politics, environmental issues, and social justice.