The nurse realizes which patient is at greatest risk for an ...

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The nurse realizes which patient is at greatest risk for an unintended synergistic effect?
 
  a. 72-year-old who is seeing four different specialists
  b. 4-year-old who has mistakenly taken the entire packet of his mother's birth control pills
  c. 50-year-old who was prescribed a second blood pressure medication
  d. 35-year-old drug addict who has ingested meth mixed with several household chemicals

Question 2

Which of the following is an intervention that will facilitate connectedness?
 
  a. Restrict visits from pets.
  b. Place memorabilia in the patient's view.
  c. Avoid physical touch and massage.
  d. Implement relevant rituals and traditions.

[JCABRERA33]

Answer to Question 1

A
A synergistic effect occurs when two medications potentiate each other, creating a greater effect than a single medication on its own. The 72-year-old seeing four different providers is likely to experience polypharmacy. Polypharmacy places the patient at risk for unintended mixing of medications that potentiate each other. The child taking too much of a medication by mistake could experience overdose or toxicity. The 50-year-old is prescribed two different blood pressure medications for their synergistic effect, but this is a desired event. A drug addict mixing chemicals can be toxic.

Answer to Question 2

B

Feedback
A Visits from pets should be encouraged, not restricted.
B An example of an intervention to facilitate connectedness is to place memorabilia in view of the patient.
C Physical touch and massage are interventions to facilitate connectedness and therefore should be implemented, not avoided.
D Implementing relevant rituals and traditions is an example of an intervention to facilitate hope, not connectedness.

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