Which of the following factors in an elderly client may increase ...

[Ebrown]

Which of the following factors in an elderly client may increase his risk for an adverse drug reaction? Select all that apply.
 
  A)
  Intake of numerous over-the-counter medications and vitamins
  B)
  Poor eyesight requiring prescription lens
  C)
  Use of electric openers to open medication bottles
  D)
  Short-term memory loss leading to forgetfulness (as to whether he took the medications)
  E)
  Utilizing pill boxes organized by day of the week

Question 2

The neuroscience nursing unit has developed a set of step-by-step directions of what should occur if a nursing assessment reveals that the patient may be exhibiting clinical manifestations of a cerebrovascular accident (CVA).
 
  Which of the following statements about clinical practice guidelines are accurate? Select all that apply.
  A)
  Step-by-step guidelines are usually developed and based primarily on how it has always been done before.
  B)
  The development of evidence-based practice guidelines requires a research review from different studies to develop the most accurate diagnostic method to implement.
  C)
  Once developed, practice guidelines only need to be reviewed if a national committee sends out an update on new research.
  D)
  When developing a CVA set of step-by-step directions, the nursing unit should ask for assistance from experts in the neuroscience field. The potential users of the guidelines should pilot test it for further feedback.
  E)
  A meta-analysis could be utilized to combine evidence from different studies to produce a more accurate diagnostic method.

[phuda]

Answer to Question 1

Ans:
B, D

Feedback:

Reasons for high rate of errors in administration of medications and compliance include poor manual dexterity; failing eyesight; lack of understanding about the treatment regimen; attitudes and beliefs about medication use; mistrust of HCP; and forgetfulness or confusion.

Answer to Question 2

Ans:
B, D, E

Feedback:

Clinical practice guidelines are systematically developed and intended to inform practitioners in making decisions about health care for CVA patients. They should be developed using research and review by experts in the clinical content. Potential uses should also participate and provide feedback prior to implementation. The purpose of the guidelines is to review EBP articles and develop new practice guidelines rather than continuing practicing primarily on how it has always been done before.Once developed, the guidelines must be continually reviewed and changed to keep pace with new research findings. A meta-analysis could be utilized to combine evidence from different studies to produce a more accurate diagnostic method or the effects of an intervention method.

[Ebrown]

Excellent

[Joy Chen]

Thanks for the timely response, appreciate it