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A nurse is preparing to reinforce teaching with a newly licensed nurse about
physiologic changes in older adult clients that can alter pharmacokinetics. Which
of the following
should the nurse include as an age-related change?
Decreased absorption of oral medications.
Decreased kidney function
Increased gastrointestinal motility
Increased hepatic enzyme function
DECREASED KIDNEY FUNCTION.
Rationale: An older adult client can experience decreased kidney function,
which can lead to medication toxicity. Therefore, an older adult client might
require a reduced
dosage of medication to decrease the risk for adverse effects.
,A nurse is reinforcing discharge teaching with a client who has a new
prescription for warfarin. The nurse should instruct the client that which of the
following medications is contraindicated with warfarin therapy?
Cimetidine
Guaifenesin
Diphenhydramine
Magnesium hydroxide
CIMETIDINE.
Rationale: Cimetidine can increase the anticoagulant effects of warfarin by
inhibiting
certain liver enzymes an is therefore contraindicated. The nurse should instruct
the client to contact the provider before taking any medications or herbal
supplements to reduce the risk for adverse effects.
A nurse is reinforcing teaching with a client who has Type 1 Diabetes Mellitus
about the use of over-the-counter supplements. The nurse should include in
the teaching that which of the following supplements can cause
hypoglycemia?
Glucosamine
Green Tea
Ginger
Root
Garlic
GINGER ROOT.
Rationale: Ginger root can lower blood glucose and increase the effects of
insulin and other diabetic medications. The nurse should instruct the client to
avoid taking this
supplement.
, A nurse is reinforcing teaching with a client who is prescribed disulfiram to
treat alcohol use disorder. Which of the following information should the
nurse include in the
teaching?
"Cigarettes are contraindicated while taking this
medication." "Monitor your pulse rate daily while taking
this medication."
"Avoid using aftershave or cologne while taking this medication."
"Drinking grapefruit juice while taking this medication can cause adverser
effects."
"AVOID USING AFTERSHAVE OR COLOGNE WHILE TAKING THIS MEDICATION."
Rationale: The nurse should identify that disulfiram causes a build-up of
acetaldehyde in the blood. Within 10 min of consuming or touching alcohol,
the client can experience manifestations such as nausea, flushing,
tachycardia, hypotension, confusion, and weakness. The severity of the
manifestations depends on the amount of alcohol present. Therefore, the nurse
should instruct the client to avoid using alcohol-based products, such as
aftershave, cologne, or nail polish remover and to avoid ingesting substances
that contain alcohol, such as cold or cough medication or vanilla extract.