A nurse is conducting a medication assessment of an older adult ...

[pragya sharda]

A nurse is conducting a medication assessment of an older adult client who will soon be receiving home care. Which of the following questions should the nurse include in this assessment? (Select all that apply.)
 
  A) Are you a smoker?
  B) What is your typical diet?
  C) What over-the-counter drugs do you use?
  D) Do you use any herbs or dietary supplements?
  E) Do you drink alcohol?

Question 2

A nurse initiates an acute care for elders unit in a medical facility. Which of the following factors should the nurse include when teaching the nursing staff about delivering medications to the older adults on the unit?
 
  A) Drug metabolism shifts from the liver to the kidneys as individuals age.
  B) Older adults face an increased risk of adverse medication effects.
  C) Older adults tend to achieve clearance of medication faster than do younger patients.
  D) Older adults tend to need more frequent doses of a drug to achieve therapeutic effect.

[janeli]

Answer to Question 1

Ans: A, C, D, E
Question relating to smoking, alcohol use, over-the-counter drugs, and herbs and dietary supplements should be included in a medication assessment. A client's diet, however, is not a common focus during a medication assessment.

Answer to Question 2

Ans: B
Age-related physiologic changes result in an overall increased risk of adverse drug effects. Drug clearance tends to be slower, so lower doses are normally required. There is no change in which organs are responsible for metabolism of drugs in older adults.

[pragya sharda]

Excellent

[atrochim]

Great answer, keep it coming