The nurse provides care for elders in an assisted living facility. What does the nurse assess as a primary contributing factor for drug toxicity in the elderly?
1. Older adults often abuse alcohol.
2. Older adults are frequently dehydrated.
3. Older adults are frequently constipated.
4. Older adults have increased stomach acid.
2
Rationale 1: Alcohol abuse could be a factor in medication complications with older adults but is not as critical as another physiologic change.
Rationale 2: Fluid deficit is a critical factor in the older adult that can contribute to medication toxicity.
Rationale 3: Frequent constipation is not a critical factor with medication complications in older adults.
Rationale 4: Older adults have a tendency to decreased stomach acid, which may interfere with medication absorption.
Global Rationale: Fluid deficit is a critical factor in the older adult that can contribute to medication complications. Older adults have a tendency to decreased stomach acid which may interfere with medication absorption. Frequent constipation is not a critical factor with medication complications in older adults. Alcohol abuse could be a factor in medication complications with older adults but is not as critical as fluid volume deficit.
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