Author Question: The nurse is identifying interventions to help older patients with insomnia. What action should the ... (Read 59 times)

daltonest1984 · **on:** Jul 11, 2018

The nurse is identifying interventions to help older patients with insomnia. What action should the nurse perform first?

A) Educate older patients about how foods and beverages affect sleep
B) Identify insomnia as a short-term problem associated with physical or mental illness
C) Suggest natural methods to the older patient fall asleep sooner and sleep more soundly
D) Recognize insomnia as a symptom and assess for factors that contribute to disrupted sleep

Question 2

Which one of the following statements about conventional treatment for cancer and the elderly is most accurate?

A) The risk of mortality and complications after surgery is no greater for older adults than it is for younger adults.
B) Advanced age can affect the pharmacokinetic process of excretion with cytotoxic drugs because of decreased glomerular filtration rate.
C) Older adults are usually not able to tolerate radiation therapy.
D) Older adults require more basic care when undergoing conventional treatment for cancer.

Dnite · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
Feedback:
Insomnia is a symptom, and the underlying cause must be investigated. Because of this, a thorough assessment must be completed before implementing any of the other options. Insomnia is not necessarily a short-term problem.

Answer to Question 2

B
Feedback:
Advanced age can affect the pharmacokinetics of cytotoxic drugs and doses need to be adjusted carefully to account for altered glomerular filtration rates. The risk of mortality and complications is greater for persons over the age of 70 . Older adults do not differ significantly from adults of other ages in the ability to tolerate radiation therapy. The same basic care measures apply to older patients undergoing these treatments as to adults of any age.