Nursing For Wellness in Older Adults 6th Edition by Carol Miller
Nursing For Wellness in Older Adults 6th Edition by Carol Miller
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Chapter 8- Medications and Other Bioactive Substances
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A 75-year-old man has iron deficiency anemia, for which he takes iron three times a day. You ask him about his eating habits to determine whether he may be sufficiently absorbing the iron supplements. Which of the following statements by him indicates a need for further teaching? | |
| A) | “I drink orange juice with breakfast.” | |
| B) | “I drink coffee with my meals.” | |
| C) | “I limit my intake of fiber in my meals.” | |
| D) | “I eat cereal for breakfast.” | |
| 2. | A healthy 70-year-old man has been having trouble sleeping at night. In addition, he has been having difficulties with gastroesophageal reflux. He buys generic Benadryl to help him sleep and buys generic Tagamet for his reflux. After 7 days of taking these over-the-counter medications, he exhibits signs of confusion and disorientation. His wife calls the primary care facility to speak with the nurse. What should the nurse suspect first? | |
| A) | The older adult has an electrolyte imbalance, leading to delirium. | |
| B) | The older adult is having transient ischemic attacks. | |
| C) | The older adult has an overwhelming infection. | |
| D) | The older adult is experiencing mental changes as an adverse drug effect. | |
| 3. | An older adult, age 72, with type 2 diabetes is recovering from a myocardial infarction and is admitted to a long-term care facility. He takes an oral hypoglycemic agent, a beta-blocker, and furosemide, and administers nitroglycerin tablets as needed. His medical history states he has drunk a pint of whiskey per day for the past few years. Which of the following should be a priority for his admitting nurse? | |
| A) | Assess and observe him for depression. | |
| B) | Assess him for toxic effects of his medication. | |
| C) | Observe him for changes in his mental status. | |
| D) | Evaluate his blood work for changes in electrolytes. | |
| 4. | An older adult wants to take ginkgo biloba to help improve his memory. He takes valsartan (Diovan) and hydrochlorothiazide for hypertension. He also takes an aspirin a day because he heard it was “good for his heart.” Which of the following statements best reflects the advice his nurse should give him? | |
| A) | “Ginkgo biloba may cause postprandial hypotension in older adults.” | |
| B) | “Ginkgo biloba has the potential to interact with hydrochlorothiazide.” | |
| C) | “Ginkgo biloba can interact with Diovan, reducing its effectiveness.” | |
| D) | “Ginkgo biloba taken with aspirin can potentially cause a drug interaction.” | |
Answer Key
| 1. | B |
| 2. | D |
| 3. | B |
| 4. | D |
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