This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 77-year-old man is brought to the emergency department with a cholinergic overdose. The nurse ... (Read 66 times)

nevelica

  • Hero Member
  • *****
  • Posts: 563
on: Jul 23, 2018
A 77-year-old man is brought to the emergency department with a cholinergic overdose. The nurse knows that older adults are likely to have a greater number of adverse drug effects for what reason?
 
  A) They are more likely to take the medications inconsistently.
  B) All older adults have some type of chronic health problem.
  C) Older adults have a number of different physiological changes.
  D) Older adults have a poor memory and are more likely to overdose.

Question 2

An 8-year-old child has been diagnosed with a seizure disorder and phenytoin (Dilantin) has been prescribed for him or her. What nursing diagnosis would be appropriate if the child demonstrated adverse effects to the drug?
 
  A) Deficient fluid volume
  B) Impaired skin integrity related to dermatological effects
  C) Noncompliance for drug therapy
  D) Sleep deprivation


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Meganchabluk

  • Sr. Member
  • ****
  • Posts: 301
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Feedback:
Older patients are more likely to experience the adverse effects associated with these drugs (e.g., central nervous system, cardiovascular, gastrointestinal, respiratory, and urinary) because of normal physiological changes associated with aging. Those patients with known renal or hepatic impairment would receive a lower dosage to avoid overdose. Older people are not more likely to take medications inconsistently or to take too much medication. Not all older adults have chronic health problems.

Answer to Question 2

B
Feedback:
Impaired skin integrity related to dermatological effects would be appropriate because phenytoin can cause potentially serious dermatological effects as well as gum disease and stained teeth. Usually this drug will cause the patient to be sleepy all day and should enhance sleep at night. Deficient fluid volume is not a concern with this drug. Noncompliance will probably not be an issue at this age because the parents and school nurse will administer the medication.


nevelica

  • Hero Member
  • *****
  • Posts: 563
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Meganchabluk

  • Sr. Member
  • ****
  • Posts: 301
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Thyroid conditions may make getting pregnant impossible.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

The nurse can make observations about the patient's general appearance while talking with the p The nurse can make observations about the patient's general appearance while talking with the p
(A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th (A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th
Eighteen-year-olds were the largest age cohort in the first year of the war in both armies. Soldiers Eighteen-year-olds were the largest age cohort in the first year of the war in both armies. Soldiers
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
Each year, the leaders of the world’s eight most powerful nations meet in a secluded place to make ... Each year, the leaders of the world’s eight most powerful nations meet in a secluded place to make ...
Chinese new year 2023 Chinese new year 2023
Video: Burn Animation

For a complete list of videos, visit our video library