Author Question: An older patient who spends most of the time in bed because of impaired mobility is complaining ... (Read 31 times)

sdfghj · **on:** Jul 11, 2018

An older patient who spends most of the time in bed because of impaired mobility is complaining about not getting enough sleep. What would cause the nurse concern if this patient were prescribed sleep sedatives?

A) Promotion of incontinence
B) Depression of some vital body functions
C) Decreased body movements during sleep
D) Decreased susceptibility to adverse reactions

Question 2

A 77-year-old male patient who has been diagnosed with lung cancer is discussing treatment options with his oncologist. Which of the following factors is most likely to make the patient's treatment more complicated than that of a younger patient?

A) Radiation treatment is not an option for most patients over age 70.
B) Age-related decline in kidney function can affect drug therapy.
C) The client is unlikely to be a candidate for surgery.
D) Fewer pharmacologic treatment options exist for older adult clients.

alexanderhamilton · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Feedback:
The patient already has compromised body movements. All sedatives may decrease body movements during sleep and predispose the older person to many complications of reduced mobility. It is not known if the sleep sedative would promote incontinence, depress vital body functions, or decrease susceptibility to adverse reactions of the sleep medications.

Answer to Question 2

B
Feedback:
Changes in glomerular filtration rate have an effect on the pharmacologic treatment options for older adults. Radiation is an option for patients of all ages, and while surgery is accompanied by higher risks for older adults, this option would not categorically be ruled out.