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. | is not done long enough. |
| b. | does not require adequate follow-up. |
| c. | is not well regulated by the U.S. Food and Drug Administration. |
| d. | is usually tested 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: 131 OBJ: 1
TOP: Drug Testing KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | change the chemical composition of the drug. |
| b. | increase the distribution. |
| c. | decrease the strength of the drug. |
| d. | retard absorption. |
ANS: D
Decreased gastric acid can decrease the speed of absorption.
DIF: Cognitive Level: Analysis REF: 132 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: 132 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: 132 OBJ: 8
TOP: Distribution KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
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