Author Question: A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action ... (Read 41 times)

michelleunicorn · **on:** Jul 22, 2018

A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?

a. Review the patient's list of medications at each visit.
b. Teach that polypharmacy is to be avoided at all cost.
c. Avoid information about adverse effects.
d. Focus only on prescribed medications.

Question 2

An outcome for an older-adult patient living alone is to be free from falls. Which statement indicates the patient correctly understands the teaching on safety concerns?

a. I'll take my time getting up from the bed or chair.
b. I should dim the lighting outside to decrease the glare in my eyes.
c. I'll leave my throw rugs in place so that my feet won't touch the cold tile.
d. I should wear my favorite smooth bottom socks to protect my feet when walking around.

cpetit11 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
Strategies for reducing the risk for adverse medication effects include reviewing the medications with older adults at each visit; examining for potential interactions with food or other medications; simplifying and individualizing medication regimens; taking every opportunity to inform older adults and their families about all aspects of medication use; and encouraging older adults to question their health care providers about all prescribed and over-the-counter medications. Although polypharmacy often reflects inappropriate prescribing, the concurrent use of multiple medications is often necessary when an older adult has multiple acute and chronic conditions. Older adults are at risk for adverse drug effects because of age-related changes in the absorption, distribution, metabolism, and excretion of drugs. Work collaboratively with the older adult to ensure safe and appropriate use of all medicationsboth prescribed medications and over-the-counter medications and herbal options.

Answer to Question 2

ANS: A
Postural hypotension is an intrinsic factor that can cause falls. Changing positions slowly indicates a correct understanding of this concept. Environmental hazards outside and within the home such as poor lighting, slippery or wet flooring, and items on floor that are easy to trip over such as throw rugs are other factors that can lead to falls. Impaired vision and poor lighting are other risk factors for falls and should be avoided (dim lighting). Inappropriate footwear such as smooth bottom socks also contributes to falls.