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A take into account age related changes in body

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a.Take into account age-related changes in body systems that affect pharmacokinetic activity.b.Increase the dose of tranquilizer if the cause of the confusion is an infection.c.Note when the confusion occurs and medicate before that time.d.Restrict phone calls to prevent further confusion.ANS: ASome sedatives and tranquilizers prescribed for acutely confused older adults sometimes cause orexacerbate confusion. Carefully administer drugs used to manage confused behaviors, taking intoaccount age-related changes in body systems that affect pharmacokinetic activity. When confusionhas a physiological cause (such as an infection), specifically treat that cause, rather than theconfused behavior. When confusion varies by time of day or is related to environmental factors,nonpharmacological measures such as making the environment more meaningful, providing
adequate light, etc., should be used. Making phone calls to friends or family members allows olderadults to hear reassuring voices, which may be beneficial.DIF:Apply (application)REF:188OBJ: Describe selected health concerns of older adults. TOP: ImplementationMSC:Pharmacological and Parenteral Therapies23. Which assessment finding of an older adult, who has a urinary tract infection, requires animmediate nursing intervention?a.Confusionb.Presbycusisc.Temperature of 97.9° Fd.Death of a spouse 2 months agoANS: AConfusion is a common manifestation in older adults with urinary tract infection; however, the causerequires further assessment. There may be another reason for the confusion. Confusion is not anormal finding in the older adult, even though it is commonly seen with concurrent infections.Difficulty hearing, presbycusis, is an expected finding in an older adult. Older adults tend to havelower core temperatures. Coping with the death of a spouse is a psychosocial concern to beaddressed after the acute physiological concern in this case.DIF:Apply (application)REF:176 | 179OBJ: Identify nursing interventions related to the physiological, cognitive, and psychosocial changesof aging. TOP: Implementation MSC: Physiological Integrity24. Which patient statement is themostreliable indicator that an older adult has the correctunderstanding of health promotion activities?a.“I need to increase my fat intake and limit protein.”b.“I still keep my dentist appointments even though I have partials now.”c.“I should discontinue my fitness club membership for safety reasons.”d.“I’m up-to-date on my immunizations, but at my age, I don’t need the influenza vaccine.”ANS: BGeneral preventive measures for the nurse to recommend to older adults include keeping regulardental appointments to promote good oral hygiene, eating a low-fat, well-balanced diet, exercisingregularly, and maintaining immunizations for seasonal influenza, tetanus, diphtheria and pertussis,shingles, and pneumococcal disease.

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Term
Fall
Professor
N/A
Tags
Nursing, Management of Care, first practicing nurse epidemiologist, The Unconscious,

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