Term
1. Which pharmacokinetic parameter is affected most by decreased intestinal motility related to the aging process?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion |
|
Definition
|
|
Term
2. Which process is increased in the early morning?
a. Fibrinolytic activity
b. Blood plasma
c. Asthma symptoms
d. Rheumatoid arthritis pain |
|
Definition
|
|
Term
3. Which interaction between each prescription and food or nutritional supplement is favorable?
a. Warfarin (Coumadin) and ginkgo biloba
b. Terazosin (Hytrin) and increased fluids
c. Lithium (Eskalith) and low-sodium diet
d. Warfarin (Coumadin) and leafy, green vegetables |
|
Definition
|
|
Term
4. Which medication is correctly matched to the condition given of an older adult patient according to current medical knowledge?
a. Methylphenidate (Ritalin) for depression at bedtime
b. Buspirone (BuSpar) for chronic anxiety states
c. Amitriptyline (Elavil) for depression in the morning
d. Haloperidol (Haldol) long-term for psychotic behavior |
|
Definition
|
|
Term
5. In questioning an older adult, which question is likely to elicit the most accurate information about the individual’s adherence to the medication plan?
a. “You take digoxin (Lanoxin) at the correct time, don’t you?”
b. “Why didn’t you take all of your digoxin (Lanoxin) last month?”
c. “How many doses of digoxin (Lanoxin) do you think you missed?”
d. “You have never missed a dose of digoxin (Lanoxin), have you?” |
|
Definition
|
|
Term
6. Which of the following is on the list of drugs considered suitable for the older adult?
a. Indomethacin (Indocin)
b. Reserpine (Reserpine)
c. Chlorpheniramine (Chlor-Trimeton)
d. Bupropion (Wellbutrin) |
|
Definition
|
|
Term
7. A patient receives heparin daily. The nurse should assess for which clinical response that indicates the need to discontinue heparin therapy?
a. International normalized ratio (INR) of 2.5
b. Platelet count of 150,000/mm3
c. Reflux
d. Hematuria |
|
Definition
|
|
Term
8. A geriatric nurse practitioner prescribes an antidepressant for a patient. The patient asks, “How long will I have to be on this medication before I feel like my old self?” The nurse recalls that a therapeutic response to an antidepressant medication most often takes which one of the following?
a. 24 hours
b. 2 days
c. 2 weeks
d. 2 months |
|
Definition
|
|
Term
9. The nurse prepares to administer vancomycin (Vancocin) to an older adult. Which laboratory test should the nurse review before administering this medication?
a. Stool culture
b. Serum potassium
c. Creatinine clearance
d. Alkaline phosphatase |
|
Definition
|
|
Term
10. The nurse prepares to administer diltiazem (Cardizem LA) to an older adult with ischemic heart disease. When is the optimal time to administer this medication to help prevent complications of heart disease associated with rhythmical variations?
a. Midday
b. At bedtime
c. At breakfast
d. Every 4 hours |
|
Definition
|
|
Term
11. A health care provider has ordered alendronate (Fosamax) for an older adult who has been admitted for a hip fracture. Which is the best response from the nurse when educating the patient on the new medication?
a. You will need to have your calcium checked monthly while on this medication.
b. If you miss a dose, you will need to take the medication as soon as you remember.
c. Take on an empty stomach.
d. Do not take with alcohol. |
|
Definition
|
|
Term
12. When completing medication reconciliation for an older woman, the nurse notes that the patient is being discharged home on anticoagulant therapy. The nurse also notes that at admission, the patient reported that she uses herbal supplements at home. Which instruction should the nurse include during discharge teaching?
a. “You may need to supplement with only ginkgo while on anticoagulant therapy.”
b. “You may need to increase the use of garlic supplements while on anticoagulant therapy.”
c. “Avoid using Hawthorn supplements while taking an anticoagulant medication.”
d. “Avoid using chamomile supplements while on anticoagulant therapy.” |
|
Definition
|
|
Term
13. The nurse provides instruction about medication safety to older adults. Which instruction should the nurse provide?
a. Nausea and vomiting are common, harmless drug side effects.
b. Keep a supply of medications at the bedside for convenience.
c. Ask the health care provider to describe the purpose of therapy.
d. Take your daily medications on an empty stomach with water. |
|
Definition
|
|
Term
14. An older man is taking aripiprazole (Abilify) for agitation. Which patient assessment is the nurse’s priority to prevent catastrophic effects of the medication?
a. Oral and facial dyskinesia
b. Mask facies, shuffling gait
c. Muscle spasms of the face
d. Repetitive aimless walking |
|
Definition
|
|
Term
15. An older man is taking chlorpromazine (Thorazine), and the nurse helps him choose menu items. To prevent an exacerbation of potential adverse effects of therapy, which menu item does the nurse instruct the man to avoid?
a. Biscuits and gravy c. Whole grain bread
b. Coffee with cream d. Mixed green salad |
|
Definition
|
|
Term
1. An older woman who takes escitalopram (Lexapro) 10 mg by mouth daily states she does not feel better after 1 week of treatment. Rank the interventions in order, starting with the first intervention the nurse should implement to facilitate patient compliance with therapy.
a. Tell her that the beneficial effects can take 4 to 6 weeks to appear.
b. Instruct her to take the medication as prescribed without stopping.
c. Suggest hard candy, ice chips, and sips of water for a dry mouth.
d. Collaborate with the health care provider to provide an increased dose. |
|
Definition
|
|
Term
2. Which herbal supplement(s) when taken with an anticoagulant increases the effectiveness of the medication and should be avoided during anticoagulant therapy? (Select all that apply.)
a. Chamomile
b. Garlic
c. Ginkgo
d. Hawthorn
e. Ginseng
f. Green tea |
|
Definition
|
|
Term
3. Through which pathway(s) are drugs and their metabolites eliminated? (Select all that apply.)
a. Sweat
b. Saliva
c. Kidneys
d. Spleen |
|
Definition
|
|
