A 77-year-old man is brought to the emergency department with a ...

[nevelica]

A 77-year-old man is brought to the emergency department with a cholinergic overdose. The nurse knows that older adults are likely to have a greater number of adverse drug effects for what reason?
 
  A) They are more likely to take the medications inconsistently.
  B) All older adults have some type of chronic health problem.
  C) Older adults have a number of different physiological changes.
  D) Older adults have a poor memory and are more likely to overdose.

Question 2

An 8-year-old child has been diagnosed with a seizure disorder and phenytoin (Dilantin) has been prescribed for him or her. What nursing diagnosis would be appropriate if the child demonstrated adverse effects to the drug?
 
  A) Deficient fluid volume
  B) Impaired skin integrity related to dermatological effects
  C) Noncompliance for drug therapy
  D) Sleep deprivation

[Meganchabluk]

Answer to Question 1

C
Feedback:
Older patients are more likely to experience the adverse effects associated with these drugs (e.g., central nervous system, cardiovascular, gastrointestinal, respiratory, and urinary) because of normal physiological changes associated with aging. Those patients with known renal or hepatic impairment would receive a lower dosage to avoid overdose. Older people are not more likely to take medications inconsistently or to take too much medication. Not all older adults have chronic health problems.

Answer to Question 2

B
Feedback:
Impaired skin integrity related to dermatological effects would be appropriate because phenytoin can cause potentially serious dermatological effects as well as gum disease and stained teeth. Usually this drug will cause the patient to be sleepy all day and should enhance sleep at night. Deficient fluid volume is not a concern with this drug. Noncompliance will probably not be an issue at this age because the parents and school nurse will administer the medication.

[nevelica]

Both answers were spot on, thank you once again

[Meganchabluk]

Great! Please up vote