Pharm chapter 6 and 7 children and older adults

Which vaginal infection would a nurse suspect in a client who is prescribed clotrimazole?

Candidiasis Candidiasis is a vaginal infection caused by Candida albicans. Antifungal preparations such as miconazole and clotrimazole are used to treat candidiasis.

Which teaching would be given by a nurse when considering the age of a 78 year old client who has hypertension and is beginning treatment with furosemide?

Change positions slowly. With aging there is decreased vasomotor response and diminished elasticity of blood vessels which do not respond quickly to changes from horizontal to vertical; orhostatic hypotension may occur. Changing positions slowly allows the body to adjust which prevents dizziness and loss of balance. Usual fluid intake patterns can be maintained. Furosemide should be taken with meals to prevent gastric irritation. It is best to take is in the morning rather than night so that sleep is not interrupted with the need to void. There is no link between furosemide and skin breakdown.

Which medication used to treat bacterial vaginitis may be responsible for a clients report of an unpleasant metallic taste, nausea, vomiting?

Metronidazole

Which health care factor creates barriers that prevent older adults from participating in health care promotion and disease prevention?

Personal Motivation Previous healthcare experience

Which statement by a nursing student assessing a 70 year old client receiving aminoglycoside therapy would be questioned by a supervising RN?

The client may have a thinning of the tympanic membrane. Aminoglycoside therapy may cause ototoxicity and cause a thickening of the tympanic membrane, not thinning.

Which consideration would factor into the nurses plan to discuss the importance of following prescribed course of treatment with a group of adolescent clients?

They are involved more with the present than the future. Te future seems far away and immediate gratification takes priority, adolescents are often confused about their feelings.

Which genitourinary factor contributes to urinary incontinence in older adult clients and needs to be considered by the nurse when planning the care for these clients.

Urinary tract infection Urinary incontinence in older adults can be a sign of UTI. UTI affect the genitourinary tract and interfere with voluntary control, of micturition. Sensory deprivation is a neurological, not a genitourinary factor. Frequent use of diuretics is an iatrogenic, not genitourinary, factor. Inaccessibility of a bathroom is environmental, not genitourinary.

Which nursing action has a specific gerontological implication the nurse must consider when caring for an older adult receiving chemotherapy for cancer whose severe nausea and vomiting causes dehydration requiring hospital admission for rehydration therapy.

Assessment of skin turrgor Administration of antiemetic medications Replacement of fluid and electrolytes when skin turgor is assessed, the presence of tenting may be related to loss of subcutaneous tissue associated with aging rather than dehydration; skin over the sternum should be used instead of skin on the arm for checking turgor. Older adults are susceptible to nervous system side effects, such as confusion, associated with antiemetic medications; dosages may be reduced, and responses must be evaluated closely. Because many older adults have delicate fluid balance and may have cardiac renal disease, replacement of fluid and electrolytes may result in adverse consequences, such as hyperbole is, pulmonary edema, and electrolyte imbalance, vital signs can be obtained with any other adults. Intake and output can be measured accurately in older adults,

Which teaching method would be adopted for an adolescent?

Using teaching as a collaborative activity Allowing adolescents to make decisions about health and health promotion Teaching should be a collaborative activity in adolescents. An adolescent would be allowed to make decisions about health and health promotion. Preschoolers would be encouraged to ask questions and answers would be provided through simple explanations and demonstrations. School age children would be taught about psychomotor skills to maintain health. The nurse would instruct mothers to include role play, imitation, and play to make earning fun for preschoolers. Independent learning would be encouraged in young and Middle Aged adults,