Author Question: A nurse assesses an older adult who has been having a difficult time sleeping throughout the night ... (Read 31 times)

Sufayan.ah · **on:** Jul 11, 2018

A nurse assesses an older adult who has been having a difficult time sleeping throughout the night and incontinence. Which of the following questions by the nurse will best provide clues to these problems?

A) How many times a night do you get up to urinate?
B) What did your health care practitioner tell you about your medications?
C) What medications do you take when you need to stay asleep?
D) What beverages do you drink on a regular basis?

Question 2

An older adult wants to take ginkgo biloba, valsartan (Diovan), and hydrochlorothiazide for hypertension. He also takes an aspirin daily. Which of the following statements best reflects the advice his nurse should give him?

A) Ginkgo biloba may cause postprandial hypotension in older adults.
B) Ginkgo biloba has the potential to interact with hydrochlorothiazide .
C) Ginkgo biloba can interact with valsartan, reducing its effectiveness.
D) Ginkgo biloba taken with aspirin can potentially cause a drug interaction.

brittanywood · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: D
Determining what medications the client has used PRN can be helpful, but an increase in caffeine intake might be making it difficult for the older adult to sleep. Sleep problems can be handled by decreasing caffeine intake rather than by giving the older adult a sleeping medication. Incontinence is not nocturia. What did health care provider tell you assesses the client's knowledge of medications; it does not address this issue.

Answer to Question 2

Ans: D
Medications that are likely to be affected by herbs are warfarin, insulin, aspirin, digoxin, cyclosporine, and ticlopidine. Ginkgo biloba has the potential to increase blood glucose levels in type 2 diabetes. Its use is contraindicated with monoamine oxidase inhibitors. It is not known to have any interaction with valsartan or hydrochlorothiazide .