28. A nurse should monitor an older adult more closely for adverse reactions to medications if the client history includes:
28. A nurse should monitor an older adult more closely for adverse reactions to medications if the client history includes:
. CHF and COPD.
. Colitis and polycythemia vera.
. Hepatitis and glomerulonephritis.
. Diabetes and cholecystitis.
Test-Taking Tip
Think about the role each condition has in drug metabolism and detoxification.
Content Area: Geriatrics, Pharmacology; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions
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Answer 1 is incorrect because clients with cardiac and respiratory problems would be more prone to side effects, but kidney and liver problems will cause toxic responses. Answer 2 is incorrect because neither condition will interfere with the detoxification or breakdown of drugs. Answer 3 is correct because drugs are detoxified by the liver or the kidney. The client would be at risk for adverse drug effects when the function of the liver or kidneys is impaired. Answer 4 is incorrect because a client who has diabetes and gallbladder problems would not pose the greatest concern for reaction to medications detoxified by the liver or kidneys.