An older adult is admitted to the hospital after a serious fall. ...

[JMatthes]

An older adult is admitted to the hospital after a serious fall. When noting that the client has been prescribed meperidine (Demerol) for muscle pain, the nurse:
 
  a. administers the medication so as to pre-vent the client from developing the fear of pain.
  b. questions the client and family concerning any allergies to analgesic medications.
  c. calls the physician to question the appro-priateness of this medication order.
  d. conducts a pain assessment and deter-mines the client's need for an analgesic medication.

Question 2

A patient is diagnosed with osteoporosis. Which statements should the nurse include when teaching the client about the disease? (Select all that apply.)
 
  a. Osteoporosis is common in females after menopause.
  b. Osteoporosis is a degenerative disease characterized by a decrease in bone den-sity.
  c. The disease is congenital, caused by poor dietary intake of dairy products.
  d. Osteoporosis can cause pain and injury.
  e. Passive range of motion can prevent oste-oporosis.

[kbennett34]

Answer to Question 1

ANS: C
Some medications used in younger adults, for example, meperidine (Demerol), are always con-traindicated in the older adult. The metabolites of Demerol can cause confusion, psychotic be-havior, and seizure activity. The remaining options would not be inappropriate, except for the fact that they relate to the administration of an inappropriate medication.

Answer to Question 2

ANS: A, B, D
Osteoporosis is not a congenital disease. While a low intake of calcium is a factor, there are die-tary sources of calcium other than dairy products. Passive range of motion cannot prevent osteo-porosis.