Question 1

What is a symptom of theophylline overdose?

Accepted Answer

A)  Tachycardia 
B)  Confusion 
C)  Hypotension 
D)  Constipation 
A)  Tachycardia 
B)  Confusion 
C)  Hypotension 
D)  Constipation A

Question 2

What is a cause for increased rate of drug absorption in an older patient?

Accepted Answer

A)  Change of the chemical composition of the drug 
B)  Increased gastric pH 
C)  Decreased strength of the drug 
D)  Decreased gastric motility 
A)  Change of the chemical composition of the drug 
B)  Increased gastric pH 
C)  Decreased strength of the drug 
D)  Decreased gastric motility D

Question 3

Why does the nurse frequently assess an older adult who is on a psychotropic drug?

Accepted Answer

A)  Older adults are less active. 
B)  The older adult has fewer cognitive capabilities. 
C)  Brain receptors have become hypersensitive. 
D)  Receptor sites have lower perfusion. 
A)  Older adults are less active. 
B)  The older adult has fewer cognitive capabilities. 
C)  Brain receptors have become hypersensitive. 
D)  Receptor sites have lower perfusion. C

Question 4

What site would be the best choice for an intramuscular injection to an emaciated 82-year-old patient?

Accepted Answer

A)  Upper outer quadrant of the gluteus maximus 
B)  Gluteal 
C)  Deltoid 
D)  Ventrogluteal 
A)  Upper outer quadrant of the gluteus maximus 
B)  Gluteal 
C)  Deltoid 
D)  Ventrogluteal

Question 5

The nurse clarifies that the term __________ refers to the study of how persons respond to medicines.

Accepted Answer

The answer of The nurse clarifies that the term __________...

Question 6

When the 80-year-old female patient refuses to take a medication because it burns her stomach, what action should be taken by the nurse?

Accepted Answer

A)  Crush the pill and mix it with the dessert on her meal tray. 
B)  Insist that she take it "for her own good." 
C)  Circle and initial the dose time to show non-administration. 
D)  Document the reason for refusal and report the refusal to the charge nurse. 
A)  Crush the pill and mix it with the dessert on her meal tray. 
B)  Insist that she take it "for her own good." 
C)  Circle and initial the dose time to show non-administration. 
D)  Document the reason for refusal and report the refusal to the charge nurse.

Question 7

Why is drug testing done by pharmaceutical companies not always appropriate for the older adult?

Accepted Answer

A)  The testing is not done long enough. 
B)  The testing does not require adequate follow-up. 
C)  The testing is not well regulated by the U.S. Food and Drug Administration. 
D)  The testing is usually conducted on healthy young persons. 
A)  The testing is not done long enough. 
B)  The testing does not require adequate follow-up. 
C)  The testing is not well regulated by the U.S. Food and Drug Administration. 
D)  The testing is usually conducted on healthy young persons.

Question 8

What should an older adult be encouraged to implement in order to prevent lithium toxicity?

Accepted Answer

A)  Increase fluid intake to 3500 mL daily. 
B)  Have the patient ambulate for 10 minutes after the drug is administered. 
C)  Prohibit citrus fruit in the diet. 
D)  Administer a prescribed stool softener to ensure a daily bowel movement. 
A)  Increase fluid intake to 3500 mL daily. 
B)  Have the patient ambulate for 10 minutes after the drug is administered. 
C)  Prohibit citrus fruit in the diet. 
D)  Administer a prescribed stool softener to ensure a daily bowel movement.

Question 9

What age-related changes in the stomach can cause increased drug absorption and possibly drug toxicity?

Accepted Answer

A)  Decreased gastric motility 
B)  Gastric reflux disease 
C)  Inability of gastric cells to transport the drug 
D)  Decreased peristalsis 
A)  Decreased gastric motility 
B)  Gastric reflux disease 
C)  Inability of gastric cells to transport the drug 
D)  Decreased peristalsis

Question 10

What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)

Accepted Answer

A)  Simply not fill a new prescription 
B)  Take less than prescribed to preserve their supply 
C)  Fill all prescriptions at once 
D)  Save old prescription drugs for later use 
E)  Share medications 
A)  Simply not fill a new prescription 
B)  Take less than prescribed to preserve their supply 
C)  Fill all prescriptions at once 
D)  Save old prescription drugs for later use 
E)  Share medications

Question 11

Arrange the steps for preparing crushed medications to be given by feeding tube in order of priority.
A) Flush the tube to clear feeding.
B) Thoroughly crush the medication.
C) Administer each medication separately.
D) Dissolve each crushed medication in a medicine cup.
E) Flush the tube to clear the medication from the tube.
F) Reconnect the feeding tube.

Accepted Answer

The answer of Arrange the steps for preparing crushed medications...

Question 12

The nurse crushes a pill and disguises the dose in the mashed potatoes of a resident in a long-term care facility who previously refused the drug. It is then fed to the patient by the nursing assistant. This should be considered an error because it __________. (Select all that apply.)

Accepted Answer

A)  violates the patient's right to refuse medication 
B)  involves delegation of medication administration to the nursing assistant 
C)  increases the amount of time for the drug administration pass 
D)  becomes impossible to confirm the patient received the entire dose 
E)  alters the food 
A)  violates the patient's right to refuse medication 
B)  involves delegation of medication administration to the nursing assistant 
C)  increases the amount of time for the drug administration pass 
D)  becomes impossible to confirm the patient received the entire dose 
E)  alters the food

Question 13

When the medication nurse offers a pill to the older adult patient, the patient asks, "What is this and what is it for?" What is the best response by the nurse?

Accepted Answer

A)  "I'm not at liberty to discuss your medication. You need to talk to your doctor." 
B)  "That's a 'feel good' pill that will make you feel better." 
C)  "It's a cephalosporin that has been ordered to treat your URI." 
D)  "It's an antibiotic for the infection in your urine." 
A)  "I'm not at liberty to discuss your medication. You need to talk to your doctor." 
B)  "That's a 'feel good' pill that will make you feel better." 
C)  "It's a cephalosporin that has been ordered to treat your URI." 
D)  "It's an antibiotic for the infection in your urine."

Question 14

Why is self-medication with over-the-counter (OTC) drugs hazardous to the older adult? (Select all that apply.)

Accepted Answer

A)  OTC drugs can increase the effect of a prescribed drug. 
B)  OTC drugs can interfere with the efficacy of a prescribed drug. 
C)  OTC drugs can mask significant symptoms of primary disease. 
D)  OTC drugs are easily obtained. 
E)  OTC drugs can lead to overdose because they are not considered to be "real drugs." 
A)  OTC drugs can increase the effect of a prescribed drug. 
B)  OTC drugs can interfere with the efficacy of a prescribed drug. 
C)  OTC drugs can mask significant symptoms of primary disease. 
D)  OTC drugs are easily obtained. 
E)  OTC drugs can lead to overdose because they are not considered to be "real drugs."

Question 15

What is the purpose of the Beers criteria?

Accepted Answer

A)  Identifies medications best avoided by the older adult. 
B)  Identifies diagnostic procedures that are considered inappropriate for a diagnosis. 
C)  Identifies penalties for extended-care facilities that allow administration of particular drugs. 
D)  Identifies assessments necessary before the prescription of particular drugs. 
A)  Identifies medications best avoided by the older adult. 
B)  Identifies diagnostic procedures that are considered inappropriate for a diagnosis. 
C)  Identifies penalties for extended-care facilities that allow administration of particular drugs. 
D)  Identifies assessments necessary before the prescription of particular drugs.

Question 16

Which assessment finding in a 75-year-old man on a chlorpromazine (Thorazine) protocol should be immediately reported to the physician?

Accepted Answer

A)  Cough 
B)  Headache 
C)  Drool 
D)  Nausea 
A)  Cough 
B)  Headache 
C)  Drool 
D)  Nausea

Question 17

What factors increase the risk of medication-related problems in the older adult? (Select all that apply.)

Accepted Answer

A)  Drug-testing methodology 
B)  Age-related changes 
C)  Polypharmacy 
D)  Cognitive and sensory changes 
E)  Lack of adequate medical follow-up 
A)  Drug-testing methodology 
B)  Age-related changes 
C)  Polypharmacy 
D)  Cognitive and sensory changes 
E)  Lack of adequate medical follow-up

Question 18

An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?

Accepted Answer

A)  Tachycardia 
B)  A hangover effect 
C)  Agitation 
D)  Hypertension 
A)  Tachycardia 
B)  A hangover effect 
C)  Agitation 
D)  Hypertension

Question 19

What information related to drug administration should be included in the nursing care plan? (Select all that apply.)

Accepted Answer

A)  Schedule for drawing blood values 
B)  Patient's need for crushing medication 
C)  Patient's preference as to the use of medium in which to give crushed medicines 
D)  Schedule of medication and dose times 
E)  Parameters of pulse or blood pressure, if significant to administration 
A)  Schedule for drawing blood values 
B)  Patient's need for crushing medication 
C)  Patient's preference as to the use of medium in which to give crushed medicines 
D)  Schedule of medication and dose times 
E)  Parameters of pulse or blood pressure, if significant to administration

Question 20

What oral medication can be safely crushed?

Accepted Answer

A)  Plain antihypertensive medication tablet 
B)  Sublingual tablet of nitroglycerin 
C)  Timed-release capsule for gastric reflux 
D)  Enteric-coated aspirin 
A)  Plain antihypertensive medication tablet 
B)  Sublingual tablet of nitroglycerin 
C)  Timed-release capsule for gastric reflux 
D)  Enteric-coated aspirin

What is a symptom of theophylline overdose?

What is a cause for increased rate of drug absorption in an older patient?

Why does the nurse frequently assess an older adult who is on a psychotropic drug?

What site would be the best choice for an intramuscular injection to an emaciated 82-year-old patient?

The nurse clarifies that the term __________ refers to the study of how persons respond to medicines.

When the 80-year-old female patient refuses to take a medication because it burns her stomach, what action should be taken by the nurse?

Why is drug testing done by pharmaceutical companies not always appropriate for the older adult?

What should an older adult be encouraged to implement in order to prevent lithium toxicity?

What age-related changes in the stomach can cause increased drug absorption and possibly drug toxicity?

What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)

The nurse crushes a pill and disguises the dose in the mashed potatoes of a resident in a long-term care facility who previously refused the drug. It is then fed to the patient by the nursing assistant. This should be considered an error because it __________. (Select all that apply.)

When the medication nurse offers a pill to the older adult patient, the patient asks, "What is this and what is it for?" What is the best response by the nurse?

Why is self-medication with over-the-counter (OTC) drugs hazardous to the older adult? (Select all that apply.)

What is the purpose of the Beers criteria?

Which assessment finding in a 75-year-old man on a chlorpromazine (Thorazine) protocol should be immediately reported to the physician?

What factors increase the risk of medication-related problems in the older adult? (Select all that apply.)

An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?

What information related to drug administration should be included in the nursing care plan? (Select all that apply.)

What oral medication can be safely crushed?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters

Exam 7: Medications and Older Adults

What is a symptom of theophylline overdose?

What is a cause for increased rate of drug absorption in an older patient?

Why does the nurse frequently assess an older adult who is on a psychotropic drug?

What site would be the best choice for an intramuscular injection to an emaciated 82-year-old patient?

The nurse clarifies that the term __________ refers to the study of how persons respond to medicines.

When the 80-year-old female patient refuses to take a medication because it burns her stomach, what action should be taken by the nurse?

Why is drug testing done by pharmaceutical companies not always appropriate for the older adult?

What should an older adult be encouraged to implement in order to prevent lithium toxicity?

What age-related changes in the stomach can cause increased drug absorption and possibly drug toxicity?

What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)

The nurse crushes a pill and disguises the dose in the mashed potatoes of a resident in a long-term care facility who previously refused the drug. It is then fed to the patient by the nursing assistant. This should be considered an error because it __________. (Select all that apply.)

When the medication nurse offers a pill to the older adult patient, the patient asks, "What is this and what is it for?" What is the best response by the nurse?

Why is self-medication with over-the-counter (OTC) drugs hazardous to the older adult? (Select all that apply.)

What is the purpose of the Beers criteria?

Which assessment finding in a 75-year-old man on a chlorpromazine (Thorazine) protocol should be immediately reported to the physician?

What factors increase the risk of medication-related problems in the older adult? (Select all that apply.)

An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?

What information related to drug administration should be included in the nursing care plan? (Select all that apply.)

What oral medication can be safely crushed?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters