A 72-year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 PM. The nurse finds the patient drowsy and confused at 10 AM the next day. The nurse is aware that this behavior is most likely due to
A) decreased hepatic function.
B) a toxic effect.
C) an allergic reaction.
D) increased renal function.
Question 2
A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa).
Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine?
A) A client who is morbidly obese and who has a sedentary lifestyle
B) A client who has type 1 diabetes and who practices poor glycemic control
C) A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily
D) A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg
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