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Author Question: An elderly patient is admitted to the medical division after a fall. At home he is taking ... (Read 78 times)

Melani1276

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on: Jul 23, 2018
An elderly patient is admitted to the medical division after a fall. At home he is taking amitriptyline (Elavil) 25 mg three times per day. What adverse effect could be related to the patient's fall?
 
  A) Incontinence
  B) Urinary retention
  C) Dry mouth
  D) Orthostatic hypotension

Question 2

A gerontological nurse is aware that older adults' abilities to excrete medications diminish with age. When appraising an older adult's ability to excrete medications, what laboratory or diagnostic finding should the nurse prioritize?
 
  A) Renal ultrasound
  B) Complete blood count (CBC)
  C) Serum bilirubin and albumin levels
  D) Blood urea nitrogen and creatinine levels


soda0602

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D

Answer to Question 2

D
Feedback:
The nurse should assess an older adult's blood urea nitrogen and creatinine clearance (CrCl) levels to determine the patient's ability to excrete the medications. Renal ultrasound identifies structural abnormalities in the kidneys but is less useful in diagnosing function. The patient's CBC and bilirubin and albumin levels do not help the nurse assess the patient's ability to excrete medications.


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Melani1276

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Reply #2 on: Jul 23, 2018
Thanks


soda0602

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Reply #3 on: Jul 23, 2018
Welcome :)


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