Which statement made by an older adult patient would require further teaching by the nurse?
a. "Nonprescription drugs will not interfere with my prescribed medications."
b. "I can get non-childproof lids for my pills from the pharmacist."
c. "Alcohol can affect drug action."
d. "I will report any signs of drug toxicity to my doctor."
ANS: A
You must be sure that older adult patients are taught how to take their prescription medications and about the danger of taking nonprescription drugs at the same time. Elderly patients often have age-related decline in renal and hepatic function, which can affect how their bodies handle many over-the-counter (OTC) drugs and prescription drugs. They may also have some loss in "hepatic reserve," thereby placing them at increased risk of adverse effects when drugs are added to their existing treatment plan. The risk of adverse drug interactions is also increased if the elderly patients' physicians don't know all the drugs they are taking.
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a. Re-evaluate and update the plan of care continually based on the patient's needs b. Notify the physician so that he or she may make changes c. Inform the family that the plan of care is complete for the duration of the patient's stay d. File it in the drawer; it is not a useful tool for the ongoing care of the patient
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A. Drink 8 to 10 glasses of water daily. B. Drink a glass of apple juice daily. C. Empty the bladder before intercourse. D. Void every 1 to 2 hours while awake. E. Void every 2 to 3 hours while awake.
The nurse is assessing a client who has a history of stable angina. The client describes a recent increase in the number of attacks and in the intensity of the pain. Which question does the nurse ask to assess the client's change in condition?
a. "How many cigarettes do you smoke dai-ly?" b. "Do you have pain when you are resting?" c. "Do you have abdominal pain or nausea?" d. "How frequently are you having chest pain?"
The nurse works in infection control at a large hospital. Which client does the nurse recognize as being at greatest risk for acquiring a fungal infection?
1. The client with severe burns over 20% of the body 2. The adolescent client with a fractured femur from an auto accident 3. The client with anemia who is pregnant with triplets 4. The client with malignant melanoma who is receiving chemotherapy