Author Question: While providing medication education to an older adult client, which instruction by the nurse is the ... (Read 29 times)

fahad · **on:** Jul 23, 2018

While providing medication education to an older adult client, which instruction by the nurse is the most appropriate?

1. Vary the time of day that each medication is taken so that the long-term effectiveness will be preserved.
2. Obtain information about every possible adverse effect that could possibly occur.
3. Changes in mental status, weight, or bowel function should be reported to the prescriber.
4. Avoid keeping a list of medication names and doses, and their purposes, because the list could be lost, resulting in a loss of privacy.

Question 2

Which is the best description of the anatomic and physiological changes that occur as a result of aging?

Which is the best description of the anatomic and physiological changes that occur as a result of aging?
1. They result of pathologic changes.
2. They are reversible.
3. They are normal and predictable.
4. They are a potential target for drug therapy.

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Medications should be taken at the same time each day unless otherwise instructed. There is no rational basis for varying administration time.
Rationale 2: The nurse should not inform the client about every possible adverse effect. Only adverse effects that are common or serious should be reviewed.
Rationale 3: Changes in mental status, weight, or bowel function are common signs of an adverse drug reaction in older clients. These should be promptly reported so the possibility of an adverse reaction can be evaluated.
Rationale 4: Clients should be encouraged to keep a list of medications taken and doses, and the purpose of each. It should be safeguarded to minimize the chances of its being lost.
Global Rationale: Changes in mental status, weight, or bowel function are common signs of an adverse drug reaction in older clients. These should be promptly reported so the possibility of an adverse reaction can be evaluated. Medications should be taken at the same time each day unless otherwise instructed. There is no rational basis for varying administration time. The nurse should not inform the client about every possible adverse effect. Only adverse effects that are common or serious should be reviewed. Clients should be encouraged to keep a list of medications taken and doses, and the purpose of each. It should be safeguarded to minimize the chances of its being lost.

Answer to Question 2

Correct Answer: 3
Rationale 1: Age-related changes are not generally pathologic in nature.
Rationale 2: Anatomic and physiological changes are not generally reversible, with even the most advanced modern interventions.
Rationale 3: The anatomic and physiological changes are a normal and predictable part of aging.
Rationale 4: Because the anatomic and physiological changes are considered normal, they are not amenable to drug therapy.
Global Rationale: The anatomic and physiological changes are a normal and predictable part of aging. Age-related changes are not generally pathologic in nature. Anatomic and physiological changes are not generally reversible, with even the most advanced modern interventions. Because the anatomic and physiological changes are considered normal, they are not amenable to drug therapy.