A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse.

Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply)

Decreased percentage of body fat.

Multiple health problems.

Increased rate of absorption.

Polypharmacy.

Decreased renal function.

Answer and Explanation

Correct Answer : B,D,E

Older adults are at higher risk of adverse drug reactions due to multiple health problems, polypharmacy, and decreased renal function.

These factors can affect the pharmacokinetics and pharmacodynamics of pain medications and increase the likelihood of drug interactions, overdosage, or toxicity.

Choice A is wrong because the decreased percentage of body fat does not increase the risk of adverse drug reactions in older adults.

In fact, an increased percentage of body fat can alter the distribution and elimination of some drugs.

Choice C is wrong because an increased rate of absorption does not increase the risk of adverse drug reactions in older adults.

In fact, decreased rate of absorption can occur due to reduced gastric motility and blood flow.

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Correct Answer is D

Explanation

Acetaminophen is contraindicated in patients with severe hepatic impairment or severe active liver disease1 and should be used with caution in patients with hepatic impairment or active liver disease. Alcohol use disorder can cause liver damage and increase the risk of acetaminophen toxicity.

Choice A is wrong because hepatitis B vaccine within the last week is not a contraindication for receiving acetaminophen.

There is no evidence that acetaminophen interferes with the immune response to the vaccine or causes adverse effects.

Choice B is wrong because chronic kidney disease is not a contraindication for receiving acetaminophen.

Acetaminophen is mainly metabolized by the liver and has minimal renal excretion.

However, patients with chronic kidney disease should consult their doctor before taking acetaminophen as they may have other conditions that affect its use.

Choice C is wrong because diabetes mellitus is not a contraindication for receiving acetaminophen.

Acetaminophen does not affect blood glucose levels or interact with oral antidiabetic drugs.

However, patients with diabetes mellitus should consult their doctor before taking acetaminophen as they may have other conditions that affect its use.

A. The quality improvement committee. B. The charge nurse. C. The nurse who caused the error. D. The nurse who identifies the error.

Correct Answer is C

Explanation

The nurse who caused the error is responsible for completing an incident report. An incident report is a tool for documenting any event that deviates from the standard of care or causes harm to a client, staff member, or visitor. The purpose of an incident report is to improve quality and safety, not to assign blame or punish anyone. The nurse who caused the error should fill out the report as soon as possible after the event, providing factual and objective information.

Choice A is wrong because the quality improvement committee is not directly involved in the incident and does not complete the report.

The committee may review the report later to identify trends and areas for improvement.

Choice B is wrong because the charge nurse is not responsible for completing the report, although they may assist or supervise the nurse who caused the error.

The charge nurse may also notify the provider and other relevant staff members about the incident.

Choice D is wrong because the nurse who identifies the error is not responsible for completing the report, although they should notify the nurse who caused the error and help them correct it if possible.

The nurse who identifies the error may also provide additional information or witness statements for the report if needed.

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A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication?

Correct Answer is D

Explanation

A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

Correct Answer is C

Explanation

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A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse.

Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply)