A nurse administers medications to a group of older adults in a ...

[bobypop]

A nurse administers medications to a group of older adults in a residential facility. Which of the following clients is most likely to experience adverse effects?
 
  A) A 77-year-old man with a creatinine of 3.6
  B) A 78-year-old man with a body mass index of 35
  C) An 84-year-old woman with iron deficiency anemia
  D) An 82-year-old woman with constipation

Question 2

Having completed a medication assessment and physical assessment of a new client, a home care nurse is now creating nursing diagnoses and choosing interventions appropriate to these diagnoses. What factor should the nurse prioritize in this process?
 
  A) The need to maintain the client's autonomy
  B) The nurse's responsibility to teach the patient and minimize liability
  C) The importance of the patient's safety
  D) The importance of fostering patient compliance

[Andromeda18]

Answer to Question 1

Ans: A
Although age-related changes can influence skills related to taking medications, risk factors that commonly occur in older adults exert a stronger influence. A creatinine of 3.6 reflects renal failure, which will lead to increase in serum levels of medications. Iron deficiency anemia, obesity, and constipation do not impact the risk of adverse and altered effects.

Answer to Question 2

Ans: C
When dealing with patients' and clients' medications, as in all areas of nursing practice, patient safety is the priority. This supersedes other matters, even though each may be significant. These include autonomy and patient education.