« previous next »

Author Question: An older adult complaining of anxiety is prescribed diazepam by a family physician. The physician ... (Read 33 times)

leilurhhh

  • Hero Member
  • *****
  • Posts: 560
on: Jul 19, 2018
An older adult complaining of anxiety is prescribed diazepam by a family physician. The physician asks the office nurse to explain to the client the problematic side effects of this medication.
 
  Which instruction about this drug would be most important for the nurse to emphasize?
 
  A) You may experience minor urine incontinence from time to time.
  B) You may find that you have temporary memory disturbances.
  C) You need to use this medication cautiously because it can cause dependence.
  D) You may feel dizzy and be prone to falls after taking this medication.

Question 2

A nurse is performing an admission assessment. The client complains that it has been taking larger and larger amounts of medication to get the desired effect. Based on this information, the nurse interprets this as suggesting which of the following?
 
  A) Desensitization
  B) Tolerance
  C) Therapeutic index
  D) Toxicity


lindahyatt42

  • Sr. Member
  • ****
  • Posts: 322
Reply #1 on: Jul 19, 2018
Answer to Question 1

Ans: D
Diazepam is a benzodiazepine and may cause incontinence, memory disturbances, and dizziness in older adults. However, the risk for falls because of dizziness is a major concern, and this information needs to be emphasized with the client.

Answer to Question 2

Ans: B
Tolerance is a gradual decrease in the action of a drug at a given dose or concentration in the blood. This decrease may take days or weeks to develop and results in a loss of the therapeutic effect of a drug, necessitating an increase in medication to achieve the desired effect. Desensitization is a rapid decrease in drug effects that may develop within a few minutes of exposure to a drug. Toxicity generally refers to the point at which concentrations of the drug in the bloodstream are high enough to become harmful or poisonous to the body. Individuals vary widely in their responses to medications. Some clients experience adverse reactions more easily than others. The therapeutic index is the ratio of the maximum nontoxic dose to the minimum effective dose. A high therapeutic index means that there is a large range between the dose at which the drug begins to take effect and a dose that would be toxic to the body.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

leilurhhh

  • Hero Member
  • *****
  • Posts: 560
Reply #2 on: Jul 19, 2018
Correct answers!


lindahyatt42

  • Sr. Member
  • ****
  • Posts: 322
Reply #3 on: Jul 19, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

All adverse reactions are commonly charted in red ink in the patient's record and usually are noted on the front of the chart. Failure to follow correct documentation procedures may result in malpractice lawsuits.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Adult moths oviposit within stems of Solidago, forming (b) galls. Adult moths oviposit within stems of Solidago, forming (b) galls.
The Cordulegastridae are a family of Odonata (dragonflies) from the suborder Anisoptera. They are co The Cordulegastridae are a family of Odonata (dragonflies) from the suborder Anisoptera. They are co
The spectrum generated (b) is a family of peaks, with each successive peak The spectrum generated (b) is a family of peaks, with each successive peak
Examples of Late Effects of Surgery Among Adult Cancer Survivors Examples of Late Effects of Surgery Among Adult Cancer Survivors
National Institute on Aging Web site is designed to be easy to use by older adults. It utilizes ... National Institute on Aging Web site is designed to be easy to use by older adults. It utilizes ...
17th Century Physician Examining a Urine Specimen 17th Century Physician Examining a Urine Specimen
Video: Neurosynapse Animation

For a complete list of videos, visit our video library