Author Question: When assessing an older client who is receiving an antihistamine, the nurse integrates knowledge of ... (Read 21 times)

strangeaffliction · **on:** Jul 23, 2018

When assessing an older client who is receiving an antihistamine, the nurse integrates knowledge of which of the following as contributing to the client's higher risk of injury? Select all that apply.

A) Hearing loss
B) Steady gait
C) Visual impairment
D) Hypertension
E) Diabetes

Question 2

A nursing instructor is describing the advantages of using a second-generation antihistamine over a first-generation antihistamine. Which of the following would the instructor most likely include? Select all that apply.

A) Less sedation
B) Fewer anticholinergic effects
C) Less nausea
D) Can be used during pregnancy
E) Can be used during lactation

jjorrostieta · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A, C
Feedback:
Older adult clients are more likely to experience injury from dizziness because with age comes an increased risk for falls due to sensorimotor deficits (hearing loss, visual impairment) or unsteady gait.

Answer to Question 2

Ans: A, B
Feedback:
Second-generation antihistamines cause less sedation and fewer anticholinergic effects because they selectively bind to peripheral rather than central H1 receptors. Some first-generation antihistamines can be used as antiemetics. Use of any antihistamine is contraindicated during pregnancy and lactation.