The patient is a 78 year old woman who only had 20% kidney function. She also has diabetes and is prescribed insulin to help her blood sugar. Insulin is canceled out by the kidney action. What type of dosage adjustment would you expect for this patient?
What problems would occur if the dosages are not adjusted?

You are caring for a 52-year- old woman who has been prescribed a major antipsychotic (neuroleptic) agent. after explaining the potential side effect, the client refuses to take the medication. how would you feel about taking a major antipsychotic (neuroleptic) agent, realizing the many side effects that these medications can cause? for psychoactive medications to be effective, client adherence is essential. how would you respond to a client who continually fails to follow his or her medication regimen?