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Unformatted text preview: ctional assessment.
Modify teaching methods to sensoryperceptual deficits or cognitive decline.
• Provide written medication schedule.
• Discuss simplification of drug regimen. 48 Case Study
Your 75-year-old patient has Type II diabetes
mellitus, hypertension, and osteoarthritis.
The patients sight is moderately impaired
despite the use of eyeglasses. The patient’s
medications include Humulin insulin 70/30 35
units subcutaneously in the morning, lisinopril
(Zestril) 5mg by mouth daily, and
nabumetone (Relafen) 500mg by mouth
49 Case Study (con’t)
1. What are two medication administration safety
issues that the nurse will assess in the client?
2. What data will the nurse gather to evaluate the
effects of the ordered medications?
3. What measures can the nurse suggest to
ensure accuracy and compliance with the
4. The patient reports feeling “dizzy” at times. How
will you evaluate this concern?
5. What criteria will the nurse use to select printed
educational materials for this patient’s use?
50 Critical Thinking Question
An 82-year-old female client is admitted to the emergency
department. She has been taking furosemide (Lasix)
40mg PO daily as part of a regimen for congestive failure.
She is confused and dehydrated. What gender related
considerations should you make when assessing this
patient? 51 Critical Thinking Question
You are a nurse at a community clinic
frequented by a number of elderly clients.
Mrs. M. comes to your clinic complaining of
dizziness and nausea. As you take her
medication history, she shows you her pill
box. Inside you see almost a dozen different
pills, all to be taken at noon. How could this
happen? How could she need so many pills
at the same time?
52 Critical Thinking Question
The physician confirms that Mrs. M. “new symptoms” are
the result of polypharmacy. Explain at least three
physiologic changes that occur with aging and how these
changes affect pharmacokinetics and
pharmacodynamics? 53 Example Test
Questions 54 A nurse is deter...
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- Spring '14