A 76-year-old client has fallen three times in the past month. The CNL reviews the client’s list of medications to determine whether the falls are related to medications.Diphenhydramine (Benadryl) 50 mg twice daily for allergies.Metoprolol 50 mg twice daily for supraventricular tachycardia and hypertension.Bupropion (Wellbutrin) sustained release 150 mg/day for mild depression.PEG solution (Miralax) 1 package in 8 ounces of water as needed for constipation.Levothyroxine (Synthroid) 112 mcg daily.Which of the medications is most likely a cause for concern in an older adult?

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CNLs (Clinical Nurse Leaders) are a relatively new innovation in the practice of nursing, initiated in 2003 by the American Association of Colleges of Nursing (AACN) in response to a demand for general practice nurses with advanced training in the latest improvements in healthcare delivery systems, safety protocols, and quality assurance measures.  To become a licensed CNL, you start by earning a Bachelor of Science in Nursing (BSN) degree and attaining licensure as a Registered Nurse (RN). RNs may then enroll in a Master of Science in Nursing (MSN) program with a CNL specialization.... Show more

A 76-year-old client has fallen three times in the past month. The CNL reviews the client’s list of medications to determine whether the falls are related to medications.<br>Diphenhydramine (Benadryl) 50 mg twice daily for allergies.<br>Metoprolol 50 mg twice daily for supraventricular tachycardia and hypertension.<br>Bupropion (Wellbutrin) sustained release 150 mg/day for mild depression.<br>PEG solution (Miralax) 1 package in 8 ounces of water as needed for constipation.<br>Levothyroxine (Synthroid) 112 mcg daily.<br>Which of the medications is most likely a cause for concern in an older adult?