Chapter 5: Lifespan and Cultural Modifications

Chapter 5: Lifespan and Cultural Modifications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A mother asks why her 6-year-old requires a daily dose of digoxin that is twice that of an adult. The nurse explains that the larger dose is necessary because of which characteristics of children?

a.	Greater resistance to medications
b.	Variations in development of drug receptors
c.	A slower metabolic rate than adults
d.	More total body water, which dilutes the drug

 

 

ANS:  B

Infants and children require a total daily digoxin dose that is approximately twice that of an adult on a basis of the ratio of weight to dose. This increased requirement for digoxin is thought to be the result of a greater binding strength of the child’s developing myocardial digoxin receptors.

 

DIF:    Cognitive Level: Apply                   REF:   p. 48               OBJ:   1

TOP:   Excretion       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

2. Which statement made by an older adult patient would require further teaching by the nurse?

a.	“Nonprescription drugs will not interfere with my prescribed medications.”
b.	“I can get non-childproof lids for my pills from the pharmacist.”
c.	“Alcohol can affect drug action.”
d.	“I will report any signs of drug toxicity to my doctor.”

 

 

ANS:  A

You must be sure that older adult patients are taught how to take their prescription medications and about the danger of taking nonprescription drugs at the same time. Elderly patients often have age-related decline in renal and hepatic function, which can affect how their bodies handle many over-the-counter (OTC) drugs and prescription drugs. They may also have some loss in “hepatic reserve,” thereby placing them at increased risk of adverse effects when drugs are added to their existing treatment plan. The risk of adverse drug interactions is also increased if the elderly patients’ physicians don’t know all the drugs they are taking.

 

DIF:    Cognitive Level: Apply                   REF:   p. 51               OBJ:   1

TOP:   Patient Teaching                             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

3. An older adult woman comes into the clinic complaining of “feeling bad” since yesterday. She tells the nurse her husband gave her his medication for a headache. Which represents the best response to this information?

a.	“The cost of medication is high, so sharing is okay, since he has no problems.”
b.	“You both have the same health problems, so sharing is all right.”
c.	“Monitoring the drug effect is easier, since he also takes the medication.”
d.	“When you take his medication, it makes evaluating the effects of your medication harder.”

 

 

ANS:  D

Many older patients also diagnose each other’s health problems and share medications, which may make it very difficult for you to evaluate the effects of prescribed medications in a particular patient. Include the dangers of this in patient teaching.

 

DIF:    Cognitive Level: Apply                   REF:   p. 51               OBJ:   1

TOP:   Patient Teaching Considerations      KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

4. A pregnant patient asks the nurse what “teratogenic effect” of medications means. Which is the nurse’s best response?

a.	The ability to cause damage to the pregnant woman
b.	A type of anaphylactic reaction in the pregnant woman
c.	The ability to cause damage to the fetus
d.	A term for stating the therapeutic effect of the medication for the fetus

 

 

ANS:  C

All mothers want to have healthy babies, so it is important for pregnant women to avoid as many drugs as possible, especially those drugs with teratogenic potential (those likely to cause malformations or damage in the embryo or fetus).

 

DIF:    Cognitive Level: Remember            REF:   p. 52               OBJ:   1

TOP:   Pregnant and Breastfeeding Women

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

5. A young woman comes into the clinic for follow-up care after a sexually transmitted infection. Which statement made by this patient alerts the nurse that further explanation is needed about her use of oral contraceptive pills (OCPs)?

a.	“The OCPs will stop infections.”
b.	“The OCPs will not cause infection.”
c.	“I will continue the OCPs if I get an infection.”
d.	“I need to use a backup means of contraception while taking an antibiotic.”

 

 

ANS:  A

Oral contraceptive pills do not reduce a patient’s risk of getting a sexually transmitted disease.

 

DIF:    Cognitive Level: Apply                   REF:   p. 52               OBJ:   3

TOP:   Women’s Health Issues                   KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity