Which older adult is at greatest risk for falls based on the medication profile? An older adult taking:
a. psyllium daily as a bulk-forming laxative.
b. calcium daily after hip replacement surgery.
c. an over-the-counter sleep aid an average of once per week.
d. an angiotensin-converting enzyme inhibitor daily for mild hypertension.
D
Many medications taken by geriatric patients can cause drowsiness, confusion, orthostatic hypotension, lack of coordination, or reduced sensation, which in turn can increase risk of falls. The patient taking antihypertensive medications daily is at risk for falls caused by orthostatic hypotension.
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A nurse is reviewing the charts of children in the pediatric units to determine which parents would benefit from referral to the genetics clinic
The nurse recognizes that the parents of children with genetic and chromosomal disorders would benefit most from this referral. Therefore, the nurse refers the parents of the: (Select all that apply.) 1. Child diagnosed at age 6 with cystic fibrosis. 2. Neonate born at 28 weeks with respiratory distress syndrome. 3. 2-year-old child who is terminally ill with a brain tumor. 4. Child with Fanconi's syndrome being treated for anemia. 5. 4-year-old child with nephrotic syndrome.
A nurse is caring for an elderly client with chronic back pain and a sleeping disorder. The nurse suggests some relaxation techniques to be performed before bedtime. Which of the following techniques should the nurse suggest?
A) Drink a glass of wine B) Complete a crossword puzzle C) Sit in a rocking chair D) Put on cool clothes
A prescription reads, "Aspirin 325 mg 2 tablets orally for pain.". What action should the nurse take when the patient has pain?
a. Add "by mouth" to the prescription for clarification. b. Clarify the administration frequency and whether the medication should be prn or standing. c. Clarify the dose per tablet with the phar-macist. d. Administer the dose whenever the patient requests it.
A client at an outpatient clinic is ordered to receive ampicillin (Omnipen) for an infection. Which nursing intervention related to penicillins would the nurse question?
a. Verify that the client is not allergic to penicillin. b. Obtain culture before administering the first dose of medication. c. Instruct client to discontinue penicillin when temperature is normal. d. Encourage the client to increase fluid intake.