Author Question: When caring for older adults receiving immune modulators, what are the nurse's priorities of care? ... (Read 9 times)

Lobcity · **on:** Jul 23, 2018

When caring for older adults receiving immune modulators, what are the nurse's priorities of care? (Select all that apply.)

A) Assess carefully for infection.
B) Obtain baseline liver function studies and monitor follow-up studies.
C) Determine dosage based on renal and liver function.
D) Minimize teaching to avoid causing confusion.
E) Encourage the family to visit often, especially young children.

Question 2

A patient comes to the clinic complaining of acid indigestion and tells the nurse he is tired of buying over-the-counter (OTC) antacids and wants a prescription drug to cure the problem. What would the nurse specifically assess for?

A) Alkalosis
B) Hypocalcemia
C) Hypercholesterolemi a
D) Rebound tenderness at McBurney's point

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

Answer to Question 1

A, B, C
Feedback:
Older patients may be more susceptible to the effects of the immune modulators, partly because the aging immune system is less efficient and less responsive. These patients need to be monitored closely for infection, GI, renal, hepatic, and central nervous system effects. Baseline renal and liver function tests can help to determine whether a decreased dosage will be needed before beginning therapy. Because these patients are more susceptible to infection, they need to receive extensive teaching, not less teaching, about ways to avoid infection and injury. Contact with young children and large groups of people increase the risk of infection.

Answer to Question 2

A
Feedback:
Prolonged or excessive use of OTC antacids can lead to the development of metabolic alkalosis. Many antacids contain calcium so that low calcium levels would be unlikely. Because metabolic alkalosis is a concern, metabolic acidosis is unlikely. High cholesterol levels are not associated with OTC antacid use. Rebound tenderness at McBurney's point is related to appendicitis and not antacid use.