Author Question: An older adult client comes to the emergency department with his wife. He has a history of peptic ... (Read 29 times)

LaDunn · **on:** Jul 23, 2018

An older adult client comes to the emergency department with his wife. He has a history of peptic ulcer disease (PUD) and is currently experiencing confusion and severe headaches. What does the best plan by the nurse include?

1. Ask the client if he has experienced any head injuries recently.
2. Obtain a complete blood count (CBC), chemistry profile, and urine drug screen.
3. Ask the client's wife for a list of medications that the client has taken.
4. Obtain a magnetic resonance imaging (MRI) exam to assess if the client has experienced a stroke.

Question 2

Following the evaluation phase of the nursing process, what could cause a lack of medication response?

1. All medications produce an appropriate response
2. Nonadherence to the drug regimen
3. Lack of change in client's health condition
4. Adherence to the drug regimen

meganmoser117 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3
Rationale 1: Since the client has PUD, it would be logical to ask about medication prior to asking about injury.
Rationale 2: A complete blood count (CBC), chemistry profile, and urine drug screen are worthwhile tests, but the first priority for a client with a history of peptic ulcer disease (PUD) should be to find out what medications he has been taking.
Rationale 3: There is a known correlation between H2-receptor antagonists and confusion and headaches in the older adult population; the nurse should ascertain what medications the client is taking.
Rationale 4: It is premature to obtain a magnetic resonance imaging (MRI) exam until other causes have been ruled out.
Global Rationale: There is a known correlation between H2-receptor antagonists and confusion and headaches in the older adult population; the nurse should ascertain what medications the client is taking. Since the client has PUD, it would be logical to ask about medication prior to asking about injury. A complete blood count (CBC), chemistry profile, and urine drug screen are worthwhile tests, but the first priority for a client with a history of peptic ulcer disease (PUD) should be to find out what medications he has been taking. It is premature to obtain a magnetic resonance imaging (MRI) exam until other causes have been ruled out.

Answer to Question 2

2

Rationale 1: This statement is false.
Rationale 2: Nonadherence to the drug regimen can cause a lack of medication response.
Rationale 3: A lack of medication response is most likely caused by nonadherence to the drug regimen. A lack of change in the client's condition should yield a response to the medication.
Rationale 4: A lack of response is most likely caused by nonadherence to the drug regimen.

Global Rationale: Nonadherence to the drug regimen can cause a lack of medication response. Not all medications produce appropriate responses. A lack of change in the client's condition should yield a response to the medication. Adherence to the drug regimen should cause a response to the medication.