Author Question: An older client is prescribed diazepam (Valium). What should the nurse monitor in this client? 1. ... (Read 46 times)

daltonest1984 · **on:** Jul 23, 2018

An older client is prescribed diazepam (Valium). What should the nurse monitor in this client?

1. Respirations
2. Urine output
3. Muscle tone
4. Appetite

Question 2

The nurse is assessing an older client. What effects of aging should the nurse keep in mind during this assessment?

1. Decreased cough reflex
2. Stiffening of blood vessels
3. Alteration in protein synthesis
4. Dry mucous membranes
5. Increased risk of aspiration

adf223 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Medications such as diazepam (Valium) can decrease the rate and depth of respirations. Older clients are at high risk of respiratory depression. The nurse must carefully monitor respiratory status in this client.
Rationale 2: Diazepam (Valium) does not affect urine output.
Rationale 3: Diazepam (Valium) does not affect muscle tone.
Rationale 4: Diazepam (Valium) does not affect appetite.

Answer to Question 2

Correct Answer: 1, 4, 5
Rationale 1: The cough reflex decreases during aging.
Rationale 2: Stiffening of blood vessels is an effect of aging on the cardiovascular system.
Rationale 3: Alteration in protein synthesis is an effect of aging on the metabolic system.
Rationale 4: Mucous membranes are drier with aging.
Rationale 5: Increased risk of aspiration occurs in aging because of gastroesophageal reflux disease.