Author Question: Which interaction between each prescription and food or nutritional supplement is favorable? a. ... (Read 73 times)

dejastew · **on:** Jul 11, 2018

Which interaction between each prescription and food or nutritional supplement is favorable?

a. Warfarin (Coumadin) and ginkgo biloba
b. Terazosin (Hytrin) and increased fluids
c. Lithium (Eskalith) and low-sodium diet
d. Warfarin (Coumadin) and leafy, green vegetables

Question 2

Which is not a true statement about elimination in older adults?

a. Defecation less than once per day is not necessarily constipation.
b. Mineral oil is recommended as a laxative for the older adult.
c. Altered cognitive status, increased agitation, and unexplained falls can be symp-toms of constipation.
d. Leaking liquid feces should not be treated as diarrhea.

lkanara2 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Increased fluids can combat the hypotensive effects of alpha-adrenergic blockers such as terazo-sin. Ginkgo biloba can amplify the anticoagulant effect of warfarin, leading to an increased risk of bleeding. Reduced sodium intake contributes to the toxicity of lithium. Leafy, green vegeta-bles can diminish the anticoagulant effect of warfarin (Coumadin).

Answer to Question 2

B

Feedback
A Incorrect. This statement is true. Constipation is present when there are fewer than three bowel movements per week or when the frequency decreases.
B Correct. This statement is not true. Mineral oil and saline laxatives can be harmful. Fiber, fruit, and fluids are recommended first; stimulant laxatives such as senna and cascara can be used on a short-term basis.
C Incorrect. This statement is true. These behaviors may be the only clinical symptom of constipation in cognitively impaired older persons.
D Incorrect. This statement is true. Liquid feces may be leaking around a fecal impaction, and antidiarrheal treatment can aggravate the impaction.