An older man is taking chlorpromazine (Thorazine), and the nurse ...

[tichca]

An older man is taking chlorpromazine (Thorazine), and the nurse helps him choose menu items. To prevent an exacerbation of potential adverse effects of therapy, which menu item does the nurse instruct the man to avoid?
 
  a. Biscuits and gravy c. Whole grain bread
  b. Coffee with cream d. Mixed green salad

Question 2

Which is not true about fluid intake for older adults?
 
  a. Daily total volume should be 1500 to 2000 ml.
  b. Coffee is a suitable beverage for maintaining hydration.
  c. Sports drinks are sometimes preferable to water.
  d. Total daily fluid intake should be about 30 ml per kg of body weight.

[cassie_ragen]

Answer to Question 1

B
Because antipsychotic medications potentially impair the body's thermoregulatory ability, the nurse instructs an older adult who takes an antipsychotic agent such as chlorpromazine to avoid caffeinated beverages because they contribute to dehydration. This man is at high risk for organ damage as a result of hyperthermia from mild elevations in the environmental temperature; therefore he must avoid dehydration, stay in cool temperatures, keep out of direct sunlight, and alert people around him and caregivers to monitor his temperature carefully and to be prepared to provide cooling sponge baths, cool liquids, and other measures to reduce his temperature quickly. The nurse instructs all older adults to avoid eating biscuits and gravy because these items have an excessively high fat content. Whole grain bread is a healthy food item to choose. Mixed green salad is a healthy food item to choose.

Answer to Question 2

B

Feedback
A Incorrect. This is a true statement.
B Correct. This is not a true statement. Caffeine increases urine production and therefore aggravates dehydration rather than relieving it.
C Incorrect. This is a true statement. Sports drinks can be easily absorbed, and they help restore electrolyte balance.
D Incorrect. This is a true statement.

[tichca]

Thank you

[cassie_ragen]

No problemo