Registered Practical Nurse (RPN) Practice Test

Is it true that signs of drug toxicity should be assessed when an elderly client takes acetaminophen?

1. True

2. False

3. Sometimes

4. Rarely

The correct answer is: True

Acetaminophen, while commonly used for pain relief and fever reduction, poses a particular risk of toxicity, especially in the elderly population. This group may be more susceptible due to several factors, including decreased liver function, polypharmacy, and the potential for drug-drug interactions. Monitoring for signs of drug toxicity is crucial in elderly clients since they may present with atypical symptoms or delayed responses. The liver is responsible for metabolizing acetaminophen, and when dosages exceed the recommended limit, it can lead to hepatotoxicity. Early detection of toxicity can significantly mitigate the risk of severe liver damage. In clinical practice, nursing assessments should include vigilant observation for symptoms such as jaundice, elevated liver enzymes, confusion, nausea, vomiting, and abdominal pain, as these could indicate an overdose or adverse reaction to the medication. This approach underscores the importance of tailored patient care, ensuring that elderly clients are closely monitored for any signs of toxicity when using acetaminophen.