An 80-year-old patient is being treated for an infection. An ...

[Chloeellawright]

An 80-year-old patient is being treated for an infection. An order for which type of antibiotic would cause concern for the nurse caring for this patient?
 
  a. Aminoglycoside
  b. Cephalosporin
  c. Penicillin
  d. Sulfonamide

Question 2

The nurse is caring for an 80-year-old patient who is taking warfarin (Coumadin). Which action does the nurse understand is important when caring for this patient?
 
  a. Encouraging the patient to rise slowly from a sitting position
  b. Initiating a fall-risk protocol
  c. Maintaining strict intake and output measures
  d. Monitoring blood pressure frequently

[tuate]

Answer to Question 1

ANS: A
Penicillins, cephalosporins, tetracyclines, and sulfonamides are normally considered safe for the older adult. Aminoglycosides are excreted in the urine and are not usually prescribed for patients older than 75 years.

Answer to Question 2

ANS: B
Patients who take anticoagulants have an increased risk of hemorrhage. Older patients have an increased risk of falls that can lead to bleeding complications. Initiating a fall-risk protocol is important. Warfarin does not affect blood pressure and would not cause orthostatic hypotension. Warfarin does not alter urine output.

[Chloeellawright]

Thanks for the timely response, appreciate it

[sultansheikh]

TYSM