Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
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Chapter 07: Medications and Older Adults
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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. |
ANS: D
Long and rigorously regulated drug testing procedures most often use healthy young adults as drug testers.
DIF: Cognitive Level: Comprehension REF: pp. 130-131 OBJ: 1
TOP: Drug Testing KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | Change of the chemical composition of the drug |
| b. | Increased gastric pH |
| c. | Decreased strength of the drug |
| d. | Decreased gastric motility |
ANS: D
Decreased gastric motility can increase the rate of drug absorption due to an increased amount of time that the medication is in contact with the gastric mucosa.
DIF: Cognitive Level: Analysis REF: p. 131 OBJ: 3
TOP: Drug Absorption KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | Decreased gastric motility |
| b. | Gastric reflux disease |
| c. | Inability of gastric cells to transport the drug |
| d. | Decreased peristalsis |
ANS: A
Decreased motility leaves the drug in contact with the gastric mucosa for a longer period of time, which leads to increased absorption. Peristalsis is rhythmic movements of the bowels.
DIF: Cognitive Level: Application REF: p. 131 OBJ: 3
TOP: Increased Absorption KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| 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. |
ANS: A
Increase of fluids will help allow water-soluble drugs such as lithium to be diluted in the bloodstream more effectively and excreted more rapidly.
DIF: Cognitive Level: Application REF: p. 131 OBJ: 9
TOP: Distribution KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
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