PARENTERAL MEDS 1- HESI CASE STUDY (EVOLVE) |
QUSTIONS AND 100% VERIFIED ANSWERS (LATEST
2026) GRADED A+
Factors that may affect Mr. Smith's response to drugs include his:
- ANSWER: older age of 82 years
(Because of Mr. Smith's older age, drug effects may vary from those expected with
younger persons.)
height 152 cm (5 feet) and weight (estimated, since he could not be weighed) 45 kg (100
pounds), frail appearance
(Because of Mr. Smith's small body size, appropriate dosages for some drugs may vary
from those intended for an average-sized person.)
At 82 years of age, Mr. Smith's response to drugs may be different from that of younger
persons. Because of physiological changes associated with aging:
- ANSWER: drug effects may be prolonged
(With advancing age, drug effects may be prolonged because of a decline in organ
function. Many drugs are catabolized by the liver. Because hepatic blood flow may be
significantly decreased in elderly persons, drug clearance may be slowed. In addition,
many drugs are eliminated by the kidneys, and the kidney's ability to perform this
function also declines with advancing age. When an older person takes a drug that
depends on the liver for catabolism and/or the kidney for excretion, the drug may
accumulate in the body, and drug effects may be exaggerated and/or prolonged. Also,
because older adults have proportionately less body water than younger persons, water-
soluble drugs may become more concentrated in the body. With elderly persons, dosage
interval may need to be lengthened, and smaller drug doses may be adequate to achieve
desired drug effects.)
For any patient in a healthcare facility, medication reconciliation should occur:
- ANSWER: at hospital admission
, (Medication reconciliation should occur whenever a patient is transitioned to a new area
and/or medication orders must be written or rewritten. With every hospital admission, a
list of the patient's current medications should be prepared. Medications include
prescription drugs, over-the-counter medications, vitamins, herbs, and other supplements,
along with drug doses and schedules. The nurse works with the patient or family to
complete the medication list. This comprehensive list is then made available in the
patient's medical record, and the admitting physician should refer to this list when
medication orders are written for the patient at admission. Specific policies for
medication reconciliation should be followed.)
when the patient is discharged to home
(Medication reconciliation should occur whenever a patient is transitioned to a new area
and/or medication orders must be written or rewritten. At hospital discharge, medication
reconciliation should occur and the nurse should prepare a current list which includes all
medications prescribed for the patient at discharge. This list includes all doses and drug
schedules. The patient or responsible family member should receive a copy; the patient
should be encouraged to take this list to follow-up healthcare appointments.)
when the patient is transferred from one unit to another within the healthcare facility
(When a patient is transferred from one area of a healthcare facility to another,
medication reconciliation should occur, and complete current information regarding the
patient's medications should be communicated to the next service provider.)
when the patient is transferred from the healthcare facility to another healthcare facility
When a patient is transferred from one healthcare facility to another (e.g., nursing home,
rehab
Body size is an important consideration when drugs are prescribed. In which of the
followings ways does body size affect drug doses?
- ANSWER: In general, smaller drug doses are needed for smaller persons
"Morphine sulfate 6 mg IM" is ordered for Mr. Smith. The recommended dose of IM
morphine for pain control before surgery is 0.05-0.15 mg/kg. Mr. Smith weighs 45 kg
QUSTIONS AND 100% VERIFIED ANSWERS (LATEST
2026) GRADED A+
Factors that may affect Mr. Smith's response to drugs include his:
- ANSWER: older age of 82 years
(Because of Mr. Smith's older age, drug effects may vary from those expected with
younger persons.)
height 152 cm (5 feet) and weight (estimated, since he could not be weighed) 45 kg (100
pounds), frail appearance
(Because of Mr. Smith's small body size, appropriate dosages for some drugs may vary
from those intended for an average-sized person.)
At 82 years of age, Mr. Smith's response to drugs may be different from that of younger
persons. Because of physiological changes associated with aging:
- ANSWER: drug effects may be prolonged
(With advancing age, drug effects may be prolonged because of a decline in organ
function. Many drugs are catabolized by the liver. Because hepatic blood flow may be
significantly decreased in elderly persons, drug clearance may be slowed. In addition,
many drugs are eliminated by the kidneys, and the kidney's ability to perform this
function also declines with advancing age. When an older person takes a drug that
depends on the liver for catabolism and/or the kidney for excretion, the drug may
accumulate in the body, and drug effects may be exaggerated and/or prolonged. Also,
because older adults have proportionately less body water than younger persons, water-
soluble drugs may become more concentrated in the body. With elderly persons, dosage
interval may need to be lengthened, and smaller drug doses may be adequate to achieve
desired drug effects.)
For any patient in a healthcare facility, medication reconciliation should occur:
- ANSWER: at hospital admission
, (Medication reconciliation should occur whenever a patient is transitioned to a new area
and/or medication orders must be written or rewritten. With every hospital admission, a
list of the patient's current medications should be prepared. Medications include
prescription drugs, over-the-counter medications, vitamins, herbs, and other supplements,
along with drug doses and schedules. The nurse works with the patient or family to
complete the medication list. This comprehensive list is then made available in the
patient's medical record, and the admitting physician should refer to this list when
medication orders are written for the patient at admission. Specific policies for
medication reconciliation should be followed.)
when the patient is discharged to home
(Medication reconciliation should occur whenever a patient is transitioned to a new area
and/or medication orders must be written or rewritten. At hospital discharge, medication
reconciliation should occur and the nurse should prepare a current list which includes all
medications prescribed for the patient at discharge. This list includes all doses and drug
schedules. The patient or responsible family member should receive a copy; the patient
should be encouraged to take this list to follow-up healthcare appointments.)
when the patient is transferred from one unit to another within the healthcare facility
(When a patient is transferred from one area of a healthcare facility to another,
medication reconciliation should occur, and complete current information regarding the
patient's medications should be communicated to the next service provider.)
when the patient is transferred from the healthcare facility to another healthcare facility
When a patient is transferred from one healthcare facility to another (e.g., nursing home,
rehab
Body size is an important consideration when drugs are prescribed. In which of the
followings ways does body size affect drug doses?
- ANSWER: In general, smaller drug doses are needed for smaller persons
"Morphine sulfate 6 mg IM" is ordered for Mr. Smith. The recommended dose of IM
morphine for pain control before surgery is 0.05-0.15 mg/kg. Mr. Smith weighs 45 kg
