More questions on the topic
More questions on the topic ( 39 Questions)
A nurse is reviewing the medication list of an older adult client who has delirium.
Which of the following medications can contribute to delirium in older adults?
This is wrong because acetaminophen is a pain reliever and fever reducer that does not usually cause delirium in older adults.
However, acetaminophen overdose can cause liver damage and altered mental status.
Diphenhydramine. Diphenhydramine is an antihistamine and sedative medication that can cause delirium in older adults, especially when used in high doses or for a long time. Delirium is a serious change in mental abilities that results in confused thinking and reduced awareness of the surroundings.
It can be caused by various factors, such as infections, medications, surgery, or alcohol or drug use or withdrawal. Delirium can have serious consequences, such as increased risk of falls, complications, and death.
This is wrong because metformin is an oral medication that lowers blood sugar levels in people with type 2 diabetes.
Metformin does not typically cause delirium in older adults.
However, metformin can cause a rare but serious condition called lactic acidosis, which can cause confusion and other symptoms.
This is wrong because lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents heart failure.
Lisinopril does not usually cause delirium in older adults.
However, lisinopril can cause a rare but serious condition called angioedema, which can cause swelling of the face, tongue, or throat and difficulty breathing.
The correct answer is B.
Diphenhydramine. Diphenhydramine is an antihistamine and sedative medication that can cause delirium in older adults, especially when used in high doses or for a long time. Delirium is a serious change in mental abilities that results in confused thinking and reduced awareness of the surroundings. It can be caused by various factors, such as infections, medications, surgery, or alcohol or drug use or withdrawal. Delirium can have serious consequences, such as increased risk of falls, complications, and death.
Choice A is wrong because acetaminophen is a pain reliever and fever reducer that does not usually cause delirium in older adults.
However, acetaminophen overdose can cause liver damage and altered mental status.
Choice C is wrong because metformin is an oral medication that lowers blood sugar levels in people with type 2 diabetes.
Metformin does not typically cause delirium in older adults.
However, metformin can cause a rare but serious condition called lactic acidosis, which can cause confusion and other symptoms.
Choice D is wrong because lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents heart failure.
Lisinopril does not usually cause delirium in older adults.
However, lisinopril can cause a rare but serious condition called angioedema, which can cause swelling of the face, tongue, or throat and difficulty breathing.
Normal ranges for some relevant laboratory tests are:.
• Albumin: 3.5-5.0 g/dL.
• Potassium: 3.5-5.0 mEq/L.
• Total cholesterol: <200 mg/dL.
• Hemoglobin: 13.5-17.5 g/dL for men; 12.0-15.5 g/dL for women.