CHAPTER 7 REVIEW QUESTIONS

Question 1

1. A patient has nine drugs prescribed to take daily. Which are common reasons for nonadherence to the drug regimen in an 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

2. The nurse is reviewing a patient’s list of drugs. The nurse understands that the older adult’s slower absorption of oral drugs is primarily because of which phenomenon?
   a. Decreased cardiac output
   b. Increased gastric emptying time
   c. Decreased gastric blood flow
   d. Increased gastric acid secretion

Answer 2

c. Decreased gastric blood flow

Question 3

3. The older adult patient has questions about oral drug metabolism. Information on what subject is most important 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

4. An older patient has just started on hydrochlorothiazide and is advised by the health care provider to eat foods rich in potassium. What is the nurse’s best recommendation of foods to consume?
   a. Cabbage and corn
   b. Bread and cheese
   c. Avocados and mushrooms
   d. Brown rice and fish

Answer 4

c. Avocados and mushrooms

Question 5

5. The nurse is developing teaching materials for an 82-year-old African American man with macular degeneration, who is being discharged on two new drugs. Which strategies would be best to use to impart the information? (Select all that apply.)
   a. Limit distractions in the room when teaching.
   b. Wait until discharge to teach so information is fresh in the memory.
   c. Augment teaching with audio material.
   d. Use “Honey” and other terms of familiarity when addressing him to promote trust.
   e. Use large, dark print on a light background for written material.

Answer 5

a. Limit distractions in the room when teaching.
c. Augment teaching with audio material.
e. Use large, dark print on a light background for written material.

Question 6

6. What changes with aging alter drug distribution? (Select all that apply.)
   a. An increase in muscle mass and a decrease in fat
   b. A decrease in muscle mass and an increase in fat
   c. A decrease in serum albumin levels
   d. An increase in total body water
   e. A decrease in kidney mass

Answer 6

b. A decrease in muscle mass and an increase in fat
c. A decrease in serum albumin levels
e. A decrease in kidney mass

Question 7

7. What factors contribute to polypharmacy in older adults? (Select all that apply.)
   a. Multiple health care providers
   b. Multiple chronic diseases
   c. Use of a single pharmacy
   d. Care coordination by a nurse
   e. Few hospitalizations

Answer 7

a. Multiple health care providers
b. Multiple chronic diseases

Question 8

8. What is the best measure for the nurse to use to determine a patient’s kidney function?
   a. Creatinine clearance
   b. Estimated glomerular filtration rate
   c. Serum creatinine level
   d. Blood urea nitrogen level

Answer 8

b. Estimated glomerular filtration rate