Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 6 Pharmacology and Older Adults
- Course
- Institution
Gerontological Nursing, 4e (Tabloski) Chapter 6 Pharmacology and Older Adults
[Show more]
Content preview
Gerontological Nursing, 4e (Tabloski)Chapter 6 Pharmacology and Older Adults
1) Anrolderrclientrbeingrtreatedrforrpneumoniarisrgivenrarsedativertorsleep.rArfewrhoursrafte
rwards,rtherclientrhasrarrespiratoryrraterofr12randrcannotrberaroused.rWhatrdoesrthisrassess
mentrfindingrindicatertorthernurse?
1. Thersedativerwasrnotrabsorbed.
2. Thersedativerhasrreachedrartherapeuticrbloodrlevel.
3. Thermedicationrforrsleeprcausedrexcessiversedation.
4. Therclientrisrexperiencingrcomplicationsrofrpneumonia.r
Answer:r 3
Explanation:r 1.rItrisrnotrlackrofrabsorptionrbecauserofrtherexcessiversedativereffect.
2. Althoughrsleeprisrdesired,rclientsrshouldrberablertorawakenrafterrsedation.rThisrisrnotrarther
apeuticreffect.
3. Pharmacodynamicrchanges,rwhichraffectrhowrtherdrugraffectsrtherbody,rcanralsoroccurrbecauserof
rtheragingrprocess.rHowever,ritrisrnotralwaysrclearrifrchangesrinrtherapeuticrresponsesrarerduertortherp
harmacodynamicsrorrtortheralteredrpharmacokinetics.rAnrincreasedrdrug-
receptorrresponsercanroccurrwithrbenzodiazepinesrresultingrinrincreasedrsedation.
4. Complicationsrofrpneumoniarwouldrpresentrwithrlaboredrrespirationsrandrotherrassociatedrsy
mptoms.
PagerRef:r132
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PharmacologicalrandrParenteralrTherapiesrN
urs/IntegrConc.:rrNursingrProcess:rEvaluation
LearningrOutcome:r 1.rExplainrtherinteractionrbetweenrnormalragingrandrresponsesrtordrugrthe
rapyrinrolderrpeople.
1
Copyrightr©r2019rPearsonrEducation,rInc.
,2) Anrolderrclientrwhortakesrdigoxinrhasrnotreatenrinr2rdays.rWhichrfindingrmostrconcernsrthernurs
e?
1. Therclientrisrexperiencingrnausearandrvomiting.
2. Arnewrprescriptionrforranrantacidrisradministered.
3. Arrecentrweightrlossrofrseveralrpoundsrisrdocumented.
4. Therclientrisrexhibitingrweaknessrandrvisualrdisturbances.rA
nswer:r 4
Explanation:r 1.rNausearandrvomitingrcanroccurrforrmanyrreasons.rThisrcouldrresultrfromrdig
oxinrtoxicityrorrcauserdigoxinrtoxicity.rThernurserisrconcernedraboutrthisrfindingrandrmonito
rsrclosely.rHowever,ritrisrnotrmostrconcerning.
2. Antacidsrshouldrbertakenr2rhoursrapartrfromrmostrprescribedrmedications,rincludingrdigoxin.rTh
ernurserisrnotryetrconcernedrbutrdoesrteachrtherclient.
3. Changesrinrweightrandrwaterrpercentagerareroftenrarreasonrtoralterrmedicationrdoses.rDigoxinrisrn
otrweightrbased,rbutrthernurserwillrobserverforrtoxicityrrelatedrtoralterationsrinrfluidrandrelectrolyters
tatus,rpayingrspecialrattentionrtorpotassiumrlevels.
4. Visionrchangesrsuchrasrblurredrorryellowedrvisionrarerseriousradversereffectsrofrdigoxin.rDi
goxinrtoxicityrisrthermostrlikelyrcauserofrthisrandrmustrberaddressedrimmediately.
PagerRef:r131-
151rCognitiverLevel:r Analy
zing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PharmacologicalrandrParenteralrTherapiesrN
urs/IntegrConc.:rrNursingrProcess:rAssessment
LearningrOutcome:r 1.rExplainrtherinteractionrbetweenrnormalragingrandrresponsesrtordrugrthe
rapyrinrolderrpeople.
2
Copyrightr©r2019rPearsonrEducation,rInc.
, 3) Anrolderrclientrhasranrelevatedrbloodrurearnitrogenr(BUN)rlevel,rbutrthercreatininerclearancerisrwi
thinrnormalrlimits.rThernursernotesrthatrtherclient'srappetiterhasrbeenrpoorrtherpastrfewrdays.rWhatrsho
uldrthernurserdoraboutrtheserlaboratoryrfindings?
1. Performrardailyrweightrandrdocument.
2. InformrtherphysicianrofrtherBUNrresult.
3. Assessrintake,routput,randrdietaryrintakerofrprotein.
4. Monitorrforrincreasedrmedicationrlevels.r
Answer:r 3
Explanation:r 1.rBUNrcanrelevaterinrresponsertormusclerbreakdownrandrreducedrmass,rbutrardail
yrweightrwillrnotrofferrimmediatelyrusefulrinformationraboutrtherclient'srstatus.
2. Informingrtherphysicianrisrnotrnecessaryruntilrfurtherrassessmentrdatarisrcollected.
3. ThernursershouldrnotrrelyronrBUNrlevelsrasranrindicatorrofrrenalrfunctionrinrtherolderrperson.rBU
Nrisraffectedrbyrmusclermass,rlevelrofrhydration,rdiagnosisrofranemia,randrdietaryrintakerofrprotein.r
Thernurserneedsrtorfurtherrassessrtherclient'srintakerandroutputrandrdietaryrintakerofrprotein.
4. Becauserthercreatininerclearancerisrwithinrarnormalrrange,ritrisrunlikelyrthatrmedicationrexcretionr
willrberaffected.rThernurserwouldrbringrthisrtortherattentionrofrtherprescriberrforrconsiderationrofrdos
erchangesrinrthereventrthatrotherrkidneyrfunctionrtestsrdemonstraterdecliningrclearance.
PagerRef:r125
CognitiverLevel:r Applying
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 1.rExplainrtherinteractionrbetweenrnormalragingrandrresponsesrtordrugrthe
rapyrinrolderrpeople.
4) AnrolderrclientradmittedrwithrchestrpainrisrprescribedrRestorilr15rmgratrbedtime.rTherusualrdos
agergivenrtoradultsrisr30rmg.rWhatrinterventionrwouldrthernurseruserforrthisrclient?
1. Administerrtherdrugrasrordered.
2. Monitorrtherclient'srrenalrfunction.
3. Askrtherphysicianrtorchangertherdosagertor30rmg.
4. Givertherdrugrandrcontactrtherdoctorrforrarsecondrdoserifrtherclientrdoesrnotrfallrasleep.rAns
wer:r 1
Explanation:r 1.rTherrulerofrthumbrforrdrugrprescriptionsrinrolderrpersonsrisrtor"startrlow,rgorslo
w."rDrugs,rsuchrasrsedatives,rarergivenratronerhalfrtherrecommendedradultrdosage.
2. Therclient'srrenalrfunctionrisrimportantrtormonitor,rbutritrisrnotrrelevantrinrthisrsituation.
3. Recommendingrtheradultrdosermayrresultrinrexcessiversedation.
4. Changingrtherdosagerquicklyrmayrresultrinrexcessiversedation.rP
agerRef:r132
CognitiverLevel:r Applying
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r PharmacologicalrandrParenteralrTherapiesrN
urs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 1.rExplainrtherinteractionrbetweenrnormalragingrandrresponsesrtordrugrthe
rapyrinrolderrpeople.
3
Copyrightr©r2019rPearsonrEducation,rInc.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Futurenurses. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now