A client has been taking aspirin 325 mg six to eight times a day for the past two weeks to control pain from a knee injury.
Which symptom reported by the client should the nurse report to the health care provider (HCP) for priority follow-up?

This is because older adults have a reduced ability to excrete drugs and their metabolites through the kidneys, which can lead to drug accumulation and toxicity. Decreased renal function can also affect the pharmacokinetics and pharmacodynamics of many drugs, altering their absorption, distribution, metabolism, and elimination.

Choice A is wrong because reduced muscle mass does not directly affect drug metabolism or clearance, although it may affect the volume of distribution of some drugs that are highly protein-bound or lipophilic.

Choice C is wrong because slowed gastrointestinal motility does not increase the risk of adverse drug events in older adults, although it may affect the rate and extent of drug absorption.

Choice D is wrong because thinning of the layers of the skin does not affect drug metabolism or clearance, although it may increase the risk of skin infections or injuries.

Tell me about it.” This response by the nurse would best facilitate communication because it acknowledges the client’s emotional state and invites the client to express their feelings.

It also shows empathy and respect for the client.

Choice A is wrong because it does not address the client’s emotional needs or encourage communication.

It also implies that the nurse is uncomfortable with the client’s crying and wants to avoid it. Choice B is wrong because it does not show empathy or support for the client.

It also indicates that the nurse is too busy or unwilling to listen to the client.

Choice D is wrong because it is too vague and does not acknowledge the client’s emotional state.

It also puts the burden on the client to come up with a solution for their problem.