Author Question: The nurse suspects that a client is experiencing tardive dyskinesia when observing that: a. the ... (Read 88 times)

casperchen82 · **on:** Jul 11, 2018

The nurse suspects that a client is experiencing tardive dyskinesia when observing that:

a. the client can't seem to stop moving.
b. the client's facial muscles are twisting in-voluntarily.
c. the client not able to get up out of a chair.
d. the client's hand tremors so much that drinking from a cup is difficult.

Question 2

When discussing pharmacological considerations, a 68-year-old client asks, Why do medications seem to act differently than they did when I was younger? The nurse bases the response on the concept that:

a. age-related changes affect the way drugs are metabolized by older adults.
b. Over-the-counter (OTC) drugs have standardized dosages that are appropriate for all ages.
c. older adults may need larger doses of medication to bring about the desired ef-fects.
d. adverse drug reactions occur with similar frequency in older adults as the general population.

kalskdjl1212 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: B
Facial movements and involuntary twisting of the limbs, trunk, neck, and face is the definition of tardive dyskinesia. A compulsion to be in motion is the definition of akathisia. An inability to move is the definition of akinesia. A bilateral tremor and rigidity reflects Parkinsonian symptoms.

Answer to Question 2

ANS: A
Age-related pharmacokinetic and pharmacodynamic changes explain why older adults react dif-ferently to medications. OTC drugs can result in altered drug outcomes since that relates to the individual's response to the medication. Age-related changes may require smaller doses of medi-cation in older patients than in younger patients. The rule is to start low and go slow. The older a person is, the more likely he or she is to have an adverse drug reaction.