The nurse assesses a client who has recently developed nausea and ...

[WhattoUnderstand]

The nurse assesses a client who has recently developed nausea and vomiting, blurred vision, and palpitations.The history reveals that the client recently increased the dosage of digoxin.
 
  Which of the following age-related changes are most likely related to these symptoms? A) Cerebral cortex changes causing flu-like symptoms
  B) Heart changes that are affecting the ability to ingest the digoxin
  C) Age-related changes in cortical control of micturition
  D) Kidney changes that affect elimination of the digoxin

Question 2

A patient with cancer of the esophagus has been receiving radiation therapy. The nurse realizes that this patient should be assessed for
 
  a. aspiration from fistula formation.
  b. hemorrhage.
  c. incompetence of the suture line.
  d. dumping syndrome.

[ciecieme]

Answer to Question 1

D
Feedback:
Digoxin, a common drug taken by the elderly, is excreted by the kidneys unchanged. Because kidney filtration decreases with age, toxic levels of this type of medication can occur, causing adverse drug reactions.

Answer to Question 2

A
Radiation therapy may be curative or palliative. Special problems associated with radiation therapy include the development of an esophagotracheal fistula. Aspiration from the fistula and edema from the radiation must be anticipated.