Author Question: The nurse is discharging an older adult client with a new medication. Which statements should be ... (Read 37 times)

fahad · **on:** Jul 23, 2018

The nurse is discharging an older adult client with a new medication. Which statements should be included in discharge teaching?

1. You will be started on the lowest effective dose; it will gradually increase.
2. You will need to come back to the clinic in 3 to 5 days for follow-up.
3. Call if there are any changes in physical or emotional behavior.
4. It is very important that you do not get overhydrated, since that would increase the effects of the medication.
5. This would be a good time to commit to a low-protein diet in an effort to lose weight.

Question 2

Which clients would the nurse consider high risk for adverse drug effects related to inefficient bloodbrain barrier?

1. Older adult taking benzodiazepines for anxiety
2. Older adult with a current history of seizures
3. Older adult with a history of difficulty sleeping
4. Older adult taking high doses of antibiotics for pneumonia
5. Older adult with a history of emphysema

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

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Starting the older adult on the lowest effective dose and titrating upward will decrease the risk for toxicity.
Rationale 2: Drug accumulation in older adults often occurs 3 to 5 days after the new drug has been initiated.
Rationale 3: Consider any change in physical or emotional behavior as a possible sign of toxicity.
Rationale 4: Dehydration causes drug toxicity.
Rationale 5: Low-protein diets can cause drug toxicity.
Global Rationale: Starting the older adult on the lowest effective dose and titrating upward will decrease the risk for toxicity. Drug accumulation in older adults often occurs 3 to 5 days after the new drug has been initiated. Consider any change in physical or emotional behavior as a possible sign of toxicity. Dehydration causes drug toxicity. Low-protein diets can cause drug toxicity.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Drugs such as benzodiazepines, antipsychotic agents, antiseizure agents, and tranquilizers can cross the bloodbrain barrier in higher concentrations, resulting in adverse effects.
Rationale 2: Drugs such as benzodiazepines, antipsychotic agents, antiseizure agents, and tranquilizers can cross the bloodbrain barrier in higher concentrations, resulting in adverse effects.
Rationale 3: Drugs such as benzodiazepines, antipsychotic agents, antiseizure agents, and tranquilizers can cross the bloodbrain barrier in higher concentrations, resulting in adverse effects.
Rationale 4: Antibiotics for pneumonia do not cross the bloodbrain barrier.
Rationale 5: Drugs used for emphysema would not cross the bloodbrain barrier.
Global Rationale: Drugs such as benzodiazepines, antipsychotic agents, antiseizure agents, and tranquilizers can cross the bloodbrain barrier in higher concentrations, resulting in adverse effects. Antibiotics for pneumonia do not cross the bloodbrain barrier. Drugs used for emphysema would not cross the bloodbrain barrier.