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Author Question: An elderly patient is admitted to the medical unit after a fall. At home he is taking amitriptyline ... (Read 44 times)

asan beg

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An elderly patient is admitted to the medical unit after a fall. At home he is taking amitriptyline (Elavil) 20 mg three times per day. What adverse effect could be related to the patient's fall?
 
  A) Urinary frequency
  B) Urinary retention
  C) Visual disturbances
  D) Orthostatic hypotension

Question 2

A primiparous woman tells the nurse that she and her partner are highly reluctant to have their infant vaccinated, stating, We've read that vaccines can potentially cause a lot of harm, so we're not sure we want to take that risk.
 
   How should the nurse respond to this family's concerns? A) Vaccinations are not without some risks, but these are far exceeded by the potential benefits.
  B) The potential risks of vaccinations have been investigated and determined to be nonexistent.
  C) Unfortunately, state laws mandate that your child receive the full schedule of vaccines.
  D) Vaccines indeed cause several serious adverse effects, but these are usually treated at the site where your child receives the vaccination.



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rleezy04

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Answer to Question 1

D
Feedback:
Orthostatic hypotension is an adverse effect related to amitriptyline (Elavil). Urinary retention (not frequency) is an adverse effect of amitriptyline but is not related to the falls. Visual disturbances are not a common adverse effect.

Answer to Question 2

A
Feedback:
Mild reactions to vaccinations are common, but serious reactions are rare. Consequently, the benefits of vaccinations exceed the risks. Parental choice is still respected in most instances.




asan beg

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Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review


recede

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

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Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

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Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

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A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

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Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

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