The nurse is reviewing discharge instructions with the daughter of her older adult client. The nurse describes the many physiologic factors that contribute to serious cumulative effects with medicine in older adults. Which of the following are cumulative effects? (Select all that apply.)

Question

a. poorly illuminated room
b. increased metabolism
c. poor circulation
d. impaired liver and kidney function
e. Decrease in vision and hearing

Answer 1

b. Older adults tend to have a slow metabolism, not an increased metabolism. Slow metabolism can contribute to serious cumulative effects with medicine in older adults
d. Impaired liver and kidney function can contribute to serious cumulative effects with medicine in older adults. .
FEEDBACK:
a. Administering the medication would potentially put the client in jeopardy of a potential overdose or nontherapeutic response.
b. Reading the order again is an appropriate response. .
c. Questioning the order is an appropriate response. .
d. Recalculating the dosage is an appropriate response. .
e. You must verify the dosage with the provider.