Ch. 8 Nclex-Geriatric

Question 1

1. A patient has nine medications prescribed to take daily. Which are common reasons for nonadherence to the drug regimen in the older adult? (Select all that apply.)a. Taking multiple drugs at one time
   b. Impaired memory
   c. Decreased dexterity
   d. Increased mobility
   e. Increased visual acuity

Answer 1

a. Taking multiple drugs at one time
b. Impaired memory
c. Decreased dexterity

Question 2

The nurse is reviewing a patient’s list of medications with the patient. The nurse understands that the older adult’s slower absorption of oral medications is primarily because of which phenomenon?

a. Decreased cardiac output b.Increased blood flow c.Decreased enzyme function
d. Increased pH of gastric secretions

Answer 2

d.Increased pH of gastric secretions

Question 3

3. The older adult patient has questions about oral drug metabolism. What is the most important information to include in this patient’s teaching plan?a. First-pass effect
   b. Enzyme function
   c. Glomerular filtration rate
   d. Motility

Answer 3

a.First-pass effect

Question 4

A 97-year-old patient asks why a protein supplement has been prescribed. What is the nurse’s best response?

a. “You have increased circulation of free drug.”
b. “You have decreased hepatic size.”
c. “You have decreased calcium absorption.”
d. “You have increased motility.”

Answer 4

a.“You have increased circulation of free drug.”

Question 5

5. An 80-year-old patient complains of recent onset of insomnia, saying, “If only I could get to sleep!” If a drug is prescribed, which drug characteristics would be best for this situation? (Select all that apply.)a. Short-intermediate acting
   b. Rapidly eliminated
   c. Slowly eliminated
   d. Multiple metabolites
   e. Few metabolites

Answer 5

a. Short-intermediate acting
b. Rapidly eliminate
e. Few metabolites

Question 6

6. An older patient has just started on hydrochlorothiazide (HydroDiuril) and is advised by the health care provider to eat foods rich in potassium. What is the nurse’s best recommendation of foods?a. Cabbage and corn
   b. Pineapple and orange juice
   c. Bran cereal and raisins
   d. Brown rice and fish

Answer 6

c.Bran cereal and raisins

Question 7

7. Insomnia is a frequent complaint voiced by the patient. What are the most important elements for the nurse to include in the teaching plan? (Select all that apply.)a. There are a limited number of FDA-approved medications to treat insomnia.
   b. Benzodiazepines with long half-lives are preferred.
   c. 17% of the older adult population take hypnotics.
   d. Temazepam is to be taken 1 to 2 hours before bedtime.
   e. Triazolam should be tapered rather than abruptly stopped.

Answer 7

a. There are a limited number of FDA-approved medications to treat insomnia.
d. Temazepam is to be taken 1 to 2 hours before bedtime.
e. Triazolam should be tapered rather than abruptly stopped.