Author Question: A health care provider in a clinic writes several prescriptions for an older client. The nurse ... (Read 59 times)

beccaep · **on:** Jul 23, 2018

A health care provider in a clinic writes several prescriptions for an older client. The nurse notices several medications are in the same class as drugs listed on the client's intake form. What should the nurse do next?

1. Set the prescriptions to the side and follow up on the issue at a later date.
2. Ask the primary health care provider if he was aware his client had been prescribed medications in the same drug class as those prescribed by the cardiologist.
3. Throw the prescriptions away.
4. Give them to the client.

Question 2

Which of these is an age-related physiological change that occurs in older adults?

1. Brain mass increases.
2. GI motility increases.
3. The kidneys filter better and function more efficiently as a client ages.
4. Blood flow to the liver decreases.

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

Answer to Question 1

Correct Answer: 2
Rationale 1: Not addressing this issue while the client is still in the clinic is likely to result in its being lost to follow-up.
Rationale 2: Duplication in therapy appears to be present; this needs to be clarified with the prescriber.
Rationale 3: The nurse should not throw the prescriptions away unless it is determined that they are inappropriate.
Rationale 4: A duplication in therapy is likely to result in a poor outcome.
Global Rationale: Duplication in therapy appears to be present; this needs to be clarified with the prescriber. Not addressing this issue while the client is still in the clinic is likely to result in its being lost to follow-up. The nurse should not throw the prescriptions away unless it is determined that they are inappropriate. A duplication in therapy is likely to result in a poor outcome.

Answer to Question 2

Correct Answer: 4
Rationale 1: Brain mass typically gets smaller, not larger.
Rationale 2: GI motility decreases, not increases, with age.
Rationale 3: Kidney function declines, not improves, with advancing age.
Rationale 4: Liver blood flow typically decreases with advancing age.
Global Rationale: Liver blood flow typically decreases with advancing age. Brain mass typically gets smaller, not larger. GI motility decreases, not increases, with age. Kidney function declines, not improves, with advancing age.