CHAPTER 6: DRUG THERAPY FOR GERIATRIC CLIENTS

CHAPTER 6: DRUG THERAPY FOR GERIATRIC CLIENTS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse understands that when the elderly use oral medications there is:

a.	increased hydrochloric acid secretion in the stomach.
b.	shorter gastric emptying time.
c.	slower intestinal movement.
d.	greater gastric and intestinal blood flow.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Hydrochloric acid production is decreased.
B	Incorrect: Gastric emptying time is increased.
C	Correct: Due to decreased muscle tone, intestinal movements (peristalsis) slows.
D	Incorrect: There is decreased gastric and intestinal blood flow.

 

 

PTS:   1                    REF:   p. 133            OBJ:   Cognitive Level: Comprehension

 

2. To enhance drug absorption in providing drug therapy to elderly clients, when possible the nurse should:

a.	administer liquid dosage forms.
b.	administer sustained-release dosage forms.
c.	administer drugs in a suppository dosage form.
d.	use capsule instead of tablet dosage forms.

 

 

ANS:  A

 

	Feedback
A	Correct: Liquid dosage forms absorb better in the GI tract considering all the factors influencing drug absorption in the older adult.
B	Incorrect: Altered GI absorption negatively affects timed-released medication.
C	Incorrect: Loss of muscle tone and intestinal villi decreases the absorption of rectal medications.
D	Incorrect: Tablets and capsules absorption is similar.

 

 

PTS:   1                    REF:   p. 133 | p. 137, Safe Nursing Practice 6-3

OBJ:   Cognitive Level: Application

 

3. The nurse understands which of the following is not associated with diminishing gastrointestinal absorption of drugs in the elderly?

a.	consumption of high fiber foods
b.	use of stimulant laxatives
c.	reduction in the absorptive area in the GI tract
d.	increased fluid consumption by the elderly

 

 

ANS:  D

 

	Feedback
A	Incorrect: High fiber foods can reduce the absorption of certain drugs.
B	Incorrect: The use of stimulant laxatives can reduce the absorption of medications.
C	Incorrect: This will diminish gastrointestinal absorption.
D	Correct: Increased fluid consumption would improve blood supply and thus increase drug distribution not absorption.

 

 

PTS:   1                    REF:   p. 133            OBJ:   Cognitive Level: Comprehension

 

4. When caring for older adults, the nurse understands that the characteristic of drug absorption which is likely to occur with advancing age is:

a.	increase in water content of the body
b.	loss of muscle tissue
c.	loss of fat as a proportion of total body mass
d.	increased protein binding of drugs

 

 

ANS:  B

 

	Feedback
A	Incorrect: There is a decrease in water content in the body.
B	Correct: There is an age-related reduction in muscle tissue because of atrophy.
C	Incorrect: Fatty tissue increases with age.
D	Incorrect: There is a decreased protein-binding capacity with age.

 

 

PTS:   1                    REF:   p. 133            OBJ:   Cognitive Level: Comprehension