The older patient is visiting the clinic after a fall during the ...

[Tirant22]

The older patient is visiting the clinic after a fall during the night. Which of the following data points obtained most likely would contribute to this fall?
 
  a. The patient has been taking glucosamine.
  b. The patient has been taking a fish oil.
  c. The patient has been taking Benadryl (diphenhydramine).
  d. The patient has been taking vitamin C.

Question 2

A 79-year-old patient drives his car in the local areas near his home. Which of the following is the most appropriate driving tip that the nurse can give this patient?
 
  a. Go very, very slowly, so you will have some chance of reacting.
  b. Take your time on long road trips when you are by yourself.
  c. Remember to keep your car maintained with regular checkups.
  d. To avoid sun glare, you should drive at night.

[duy1981999]

Answer to Question 1

C
When older adults are using Benadryl (diphenhydramine), an over-the-counter medication for sleep, caution them that they may experience dizziness, drowsiness, confusion, constipation, and urinary retention because of the long duration of action of the medication. This can contribute to a fall in an older adult. Fish oil given for the treatment of cholesterol, although an issue after a fall with potential bleeding, is not a cause for the fall, nor is glucosamine, which is used in the treatment of joint issues. Neither of these substances are utilized for sleep. Vitamin C is used to support the immune system; it is not used for sleep and does not cause falls.

Answer to Question 2

C

Feedback
A The nurse should advise the patient to go slowly, but not too slowly, for safety.
B The nurse can offer this patient the driving tip to drive in familiar areas, but not to take long road trips by himself.
C A safety tip the nurse can share with this patient is to keep the car in good working condition.
D The patient should be advised to avoid driving at dusk or at night.