Author Question: The nurse is admitting an older frail patient with dementia as a resident in a long-term care ... (Read 37 times)

nmorano1 · **on:** Jul 11, 2018

The nurse is admitting an older frail patient with dementia as a resident in a long-term care facility. Which problem is a priority when planning interventions for this patient's care?

1. Agitation
2. Dependency
3. Quality of life
4. Polypharmacy

Question 2

A frail older patient with diabetes is diagnosed with a urinary tract infection. How should the nurse expect the physician to prescribe antibiotics for this patient?

1. Lower dose for a longer period of time
2. Lower dose for a shorter period of time
3. Higher dose for a shorter period of time
4. Higher dose and for a longer period of time

lin77x · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

4
Rationale: Polypharmacy and overmedication are serious problems inherent in the care of the older person with dementia. Control of agitation helps with the quality of life and is often treated with medication.

Answer to Question 2

4
Rationale: When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism.
Rationale 2: When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism.
Rationale 3: When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism.
Rationale 4: When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 6. Formulate and implement appropriate nursing interventions to care for the older person with multisystem problems.