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Geri Unit V > Geri Unit V > Flashcards

Geri Unit V Flashcards

1
Q

What is pharmocodynamics

A

Action

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2
Q

What is distribution

A

Transport of meds

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3
Q

When does asthma attacks usually occur

A

At night

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4
Q

What is chronopharmocogy

A

Body rhythm and how they interact with meds

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5
Q

What is polypharmacy

A

The use of a lot of different meds daily

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6
Q

What is underuse

A

Person takes less meds than prescribed to save pills or money

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7
Q

What is misuse

A

Incorrect dosing, sharing meds

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8
Q

What is overuse

A

If one pill works well then 2 will work better

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9
Q

What is erratic use

A

Forgetting to take meds

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10
Q

What is contraindicated use

A

Recieving several meds from several physicians, using many different pharmacies

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11
Q

What is pharmacokinetics

A

Study of how medication moves through body

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12
Q

What is pharmocotherapeutics

A

Medications used to treat an illness

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13
Q

What is the primary drug abused in the world

A

Alcohol

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14
Q

What should a patient with CHF restrict from

A

All sodium

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15
Q

What is HTN

A

Hypotension

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16
Q

What side of the body should be effected if the stroke occurs on the left side of brain

A

Right side

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17
Q

What is hemorage

A

A bleed or clot that travels that causes a stroke

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18
Q

What is hemosiderosis

A

Permanent brown discoloration May appear bc of small hemorages

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19
Q

What is another name for high cholesterol

A

Hyperlipidemia

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20
Q

What is the generic name for digoxin

A

Lanoxin

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21
Q

What is pathology

A

Study of disease

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22
Q

What is chronic illness

A

Gradual onset long duration

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23
Q

What is the goal for chronic illness

A

Management not care

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24
Q

What is acute illness

A

Rapid onset short duration

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25
Q

What is CHF

A

Inability of the heart to pump blood to meet the metabolic demands of the body

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26
Q

What is osteoporosis

A

Brittle bones

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27
Q

What is deconditioning

A

People restrict their activity and become less capable

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28
Q

What is cataract

A

Clouding of lens

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29
Q

What is the most common eye disorder

A

Cataract

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30
Q

What is macular degeneration

A

Destroys the point of macula

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31
Q

Where is macular degeneration found

A

Only in older people

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32
Q

When does a person get macular degeneration

A

After age 60

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33
Q

What is glaucoma

A

One of the leading causes of blindness and results from increased pressure in eye that damages the optic nerve

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34
Q

How do you treat glaucoma

A

Meds

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35
Q

What is the major goal when working with somebody with osteoporosis

A

Safety

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36
Q

What is sinement

A

Type of med used to treat PD

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37
Q

What is the primary goal of PD

A

Prevent complications

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38
Q

When is osteoporosis worse

A

In the morning

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39
Q

Is type III or type I diabetes more common in elderly

A

Type III

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40
Q

Who is most likely at rush for osteoporosis

A

Caucasian and Asian women

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41
Q

What is levothyroxine

A

Med that treats hypothyroidism

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42
Q

What is ADR

A

(Adverse drug reactions)

Unwanted effects or side effects of a med

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43
Q

Name 3 issues that may affect safety of medication use in elderly

A

Visual changes, hearing changes , cognitive changes

44
Q

What is the ADR S/S

A

Change in mood, restlessness, confusion, anxiety

45
Q

What organs have a major role is excretion of most meds

A

Kidneys and lungs

46
Q

What drugs cause dry mouth

A

Anticholinergics, and antiemetics

47
Q

What drug promotes gastroesophageal reflux

A

Beta blockers

48
Q

What drug is associated with ulcer formation

A

Aspirin

49
Q

What drugs alter absorption of nutrients

A

Alcohol and antacids

50
Q

What drug promote constipation

A

Narcotics

51
Q

What drug promotes diarrhea

A

Chemo drugs, antibiotics

52
Q

What drugs promote hepatic damage

A

TB drugs and Tylenol

53
Q

What drug causes excessive depression

A

Alcohol and narcotics

54
Q

What drug causes dysrhythmias

A

Dilanta and cardiac glycosides

55
Q

What drug causes damage to the kidneys

A

Antibiotics

56
Q

Considering pharmokinesthetics in the other person, which of the following statements is true

A

Overall absorption is decreased

57
Q

Which of the following factors would be the strongest in influence compliance in an older person on a fixed income

A

Cost of feeling prescription

58
Q

When working with the interdisciplinary team to simplify residents medication regimen, the LPN should

A

Review our oral medications with the person who is ill in the family, and try to unify the prescriptions to one pharmacy

59
Q

Chronopharmacology relates to

A

The correlation between ones circadian rhythm and medication effectiveness

60
Q

Miss M. 82 lives at home alone, her daughter visit her once a day and helps her bathe, Miss M cooks her own meals and works in her home and yard. Which of the following Factors Could Place Miss M at risk of making a medication error

A

All of the above

61
Q

Miss M’s daughter reports that she seems to take laxatives two or three times per day what effect would laxative abuse have on the other medications Miss M is taking

A

Decreased absorption owing to increased gut motility

62
Q

Miss M seems to have difficult remembering whether or not she has taken her pill. Which of the following would be helpful to her

A

All of the above

63
Q

What is grief

A

Normal reaction to a catastrophic loss

64
Q

What are the 5 stages of grief

A 
Denial
Anger
Bargaining 
Depression 
Acceptance
65
Q

When a patient has depression,

A

He or she doesn’t want a lot of ppl around

66
Q

What is the key to most situations

A

Communication

67
Q

Name 3 qualities to develop before working with dying people

A

Motivation
Flexibility
Dependability

68
Q

List 3 examples of imminent signs of death

A

Rapid weak pulse
Loss of hearing
Bladder and bowel incontinence

69
Q

When a elderly client experiences TR, he or she will display symptoms such as

A

Involuntary muscle twitching or jerks

70
Q

Palliative care is described as

A

The type of care that provides comfort and management of symptoms

71
Q

What are the stages of grief in order

A 
Denial 
Anger
Bargaining 
Depression 
Acceptance
72
Q

When speaking to an elderly dying patient, it is important to

A

Communicate clearly, possibly with a sense of humor in a manner that the patient will be able to hear what is being said

73
Q

Four of the eight signs of imminent death are

A

Rapid weak pulse, profuse perspiration, loss of hearing and decline in the BP

74
Q

What makes up our immune system

A

Lymphatic system

75
Q

What is the purpose of the immune system

A

Protect the body from bacteria, fungi, etc

76
Q

Name S/S of skin infection

A

Redness,swelling, pain, lesions, and discoloration

77
Q

How often should you get Tdap

A

Every 10 years

78
Q

How often should you get seasonal influenza

A

Once a year

79
Q

How often should you get shingles shot

A

Once a lifetime

80
Q

How often should you get pneumococcal shot

A

Every 5 years

81
Q

What age of Americans get shingles

A

60 years or older

82
Q

Can older people get STDs

A

YES

83
Q

S/S of TB

A

Weight loss, fever, night sweats

84
Q

S/S of West Nile Virus

A

Fever, chills, headache, aching bones

85
Q

Mrs R is 80 yo and is in good health. On a recent visit her daughter noticed that her mother seems confused and has decreased energy. Mrs R may ave developed

A

UTI

86
Q

The vaccination should be given annually to every resident in a long-term care facility

A

Influenza

87
Q

Mr. Z is discussing his immunization history with the nurse. He mentions that at age 63 he received a pneumococcal vaccine when does Mr. Z need another dose of this vaccine

A

5 years after his 1st dose

88
Q

You are admitting Miss J. 75 years old to your rehabilitation facility after her knee replacement surgery is part of the admission assessment you:

A

Ask her partner to leave the room before asking her questions about her sexual history

89
Q

When discussing HIV/AIDS with an older adult, that person needs to understand:

A

HIV/AIDS is incurable and is considered a chronic disease

90
Q

What is CVA

A

Cerebrovascular accident

91
Q

3 rationales of ROS

A
  • identify possible causes for present problems
  • show an interaction between systems
  • tie the past into the present problem
92
Q

S/S of MI

A

Dizziness, weakness, abrupt confusion, fatigue, upper abdominal pain

93
Q

Causes of CHF

A

Hypertension, heart valve calcification, arrhythmia, anemia

94
Q

S/S of HTN

A

Constipation, drowsiness, depression, cough, dizziness

95
Q

List 3 teaching for peripheral vascular disease

A

Keep legs elevated when sitting
Use cotton socks and properly fitting shoes
Avoid extreme temp changes

96
Q

Is PD found more often in men or women

A

MEN

97
Q

What shape of chest will patients with COPD have

A

Barrel chest

98
Q

List 3 risk factors for osteoporosis

A

Smoking
Low body wt
High intake of caffeine

99
Q

List 3 risk factors for Type II diabetes

A

Age 45 years or older
Overweight
Family history of Type II diabetes

100
Q

S/S of hypothyroidism

A

Fatigue, memory loss, dry skin

101
Q

Chronic health conditions differ from acute conditions in which of the following ways

A

Chronic conditions require active work by patient or family

102
Q

A review of systems helps the nurse I need to find which of the following

A

Possible interaction among healthcare problems

103
Q

When a person has a right sided stroke one way to ensure the patient’s continued attention to both sides of the body is to do which of the following

A

Observe the condition of the skin or mucous membranes on the affected side

104
Q

A major concern with older adults who have chronic condition such as osteoarthritis it’s lack of activity. which of the following is an unwanted result of decreased activity

A

Deconditioning

105
Q

An older person with a chronic condition such as HTN may not take prescribe medications routinely the main reason for this is which of the following

A

Lack of symptoms that indicate blood pressure is high

Geri Unit V (1 decks)

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