Question 1

Chemical changes in a drug that renders it active or inactive is known as

Accepted Answer

A)  absorption. 
B)  metabolism. 
C)  excretion. 
D)  distribution. 
A)  absorption. 
B)  metabolism. 
C)  excretion. 
D)  distribution. B

Question 2

An older patient is started on amitriptyline to control depression.The nurse knows to monitor for (Select all that apply)

Accepted Answer

A)  impaired psychomotor function. 
B)  irregular heart rate. 
C)  polyuria. 
D)  pulmonary edema. 
A)  impaired psychomotor function. 
B)  irregular heart rate. 
C)  polyuria. 
D)  pulmonary edema. A, B, C

Question 3

Age-related pulmonary changes that may affect this patient include

Accepted Answer

A)  increased tidal volumes. 
B)  weakening of intercostal muscles and the diaphragm. 
C)  improved cough reflex. 
D)  decreased sensation of the glottis. 
A)  increased tidal volumes. 
B)  weakening of intercostal muscles and the diaphragm. 
C)  improved cough reflex. 
D)  decreased sensation of the glottis. B

Question 4

Which of the following can be a normal assessment finding for an older patient?

Accepted Answer

A)  Asymptomatic dysrhythmias 
B)  Decreased urine output 
C)  Increased respiratory effort 
D)  Difficulty problem solving 
A)  Asymptomatic dysrhythmias 
B)  Decreased urine output 
C)  Increased respiratory effort 
D)  Difficulty problem solving

Question 5

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.When caring for this patient, the nurse will give increased attention to skin integrity because of the

Accepted Answer

A)  thickening of the epidermal skin layer. 
B)  loss of sebaceous glands. 
C)  increased fragility from loss of protective subcutaneous layers. 
D)  decreased melanocyte production. 
A)  thickening of the epidermal skin layer. 
B)  loss of sebaceous glands. 
C)  increased fragility from loss of protective subcutaneous layers. 
D)  decreased melanocyte production.

Question 6

An older patient is starting a new medication that is metabolized in the liver and excreted by the kidneys.Which is the best assessment to monitor the patient's ability to tolerate the medication?

Accepted Answer

A)  Liver function tests 
B)  Drug side effects experienced by the patient 
C)  Kidney function tests 
D)  Therapeutic drug levels 
A)  Liver function tests 
B)  Drug side effects experienced by the patient 
C)  Kidney function tests 
D)  Therapeutic drug levels

Question 7

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.Dopamine 3 mcg/kg/min has been ordered for this patient.What nursing implications should be considered when administering this drug to an older patient?

Accepted Answer

A)  No changes are noted in older patients with this drug. 
B)  Drug effect is enhanced by increased receptor site action. 
C)  Increased breakdown by liver hepatocytes occurs, increasing dosage requirements. 
D)  Drug metabolism and detoxification are slowed, increasing the risks of drug toxicity. 
A)  No changes are noted in older patients with this drug. 
B)  Drug effect is enhanced by increased receptor site action. 
C)  Increased breakdown by liver hepatocytes occurs, increasing dosage requirements. 
D)  Drug metabolism and detoxification are slowed, increasing the risks of drug toxicity.

Question 8

Which of the following nonsteroidal anti-inflammatory drugs (NSAIDs)has the side effect of renal failure, HTN, heart failure, and GI bleed in the elderly population?

Accepted Answer

A)  Indomethacin 
B)  Ketorolac 
C)  Aspirin greater than 325 mg 
D)  Naproxen 
A)  Indomethacin 
B)  Ketorolac 
C)  Aspirin greater than 325 mg 
D)  Naproxen

Question 9

An older patient is receiving a nephrotoxic medication.Which of the following would be a priority for the nurse to monitor?

Accepted Answer

A)  Electrocardiogram 
B)  Lung sounds 
C)  Blood pressure 
D)  Level of consciousness 
A)  Electrocardiogram 
B)  Lung sounds 
C)  Blood pressure 
D)  Level of consciousness

Question 10

An older patient is admitted to the hospital with an acute onset of mental changes and recent falls.The nurse knows that the most common cause of mental changes is

Accepted Answer

A)  hypoxia. 
B)  infection. 
C)  cerebrovascular accident. 
D)  electrolyte imbalance. 
A)  hypoxia. 
B)  infection. 
C)  cerebrovascular accident. 
D)  electrolyte imbalance.

Question 11

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.Age-related changes in myocardial pumping ability may be evidenced by

Accepted Answer

A)  increased contractility. 
B)  decreased contractility. 
C)  decreased left ventricle afterload. 
D)  increased cardiac output. 
A)  increased contractility. 
B)  decreased contractility. 
C)  decreased left ventricle afterload. 
D)  increased cardiac output.

Question 12

A nurse is teaching an older patient about the signs and symptoms of a myocardial infarction.Which statement by the patient would indicate that the teaching was effective?

Accepted Answer

A)  "The pain in my chest may last a long time." 
B)  "I will feel like I have an elephant sitting on the center of my chest." 
C)  "The chest pain will be sharp and over the center of my chest." 
D)  "The pain may not be severe and may not be in my chest." 
A)  "The pain in my chest may last a long time." 
B)  "I will feel like I have an elephant sitting on the center of my chest." 
C)  "The chest pain will be sharp and over the center of my chest." 
D)  "The pain may not be severe and may not be in my chest."

Chemical changes in a drug that renders it active or inactive is known as

An older patient is started on amitriptyline to control depression.The nurse knows to monitor for (Select all that apply)

Age-related pulmonary changes that may affect this patient include

Which of the following can be a normal assessment finding for an older patient?

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.When caring for this patient, the nurse will give increased attention to skin integrity because of the

An older patient is starting a new medication that is metabolized in the liver and excreted by the kidneys.Which is the best assessment to monitor the patient's ability to tolerate the medication?

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.Dopamine 3 mcg/kg/min has been ordered for this patient.What nursing implications should be considered when administering this drug to an older patient?

Which of the following nonsteroidal anti-inflammatory drugs (NSAIDs)has the side effect of renal failure, HTN, heart failure, and GI bleed in the elderly population?

An older patient is receiving a nephrotoxic medication.Which of the following would be a priority for the nurse to monitor?

An older patient is admitted to the hospital with an acute onset of mental changes and recent falls.The nurse knows that the most common cause of mental changes is

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.Age-related changes in myocardial pumping ability may be evidenced by

A nurse is teaching an older patient about the signs and symptoms of a myocardial infarction.Which statement by the patient would indicate that the teaching was effective?

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Hematologic Disorders and Oncologic Emergencies

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Exam 7: Gerontological Alterations

Chemical changes in a drug that renders it active or inactive is known as

An older patient is started on amitriptyline to control depression.The nurse knows to monitor for (Select all that apply)

Age-related pulmonary changes that may affect this patient include

Which of the following can be a normal assessment finding for an older patient?

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.When caring for this patient, the nurse will give increased attention to skin integrity because of the

An older patient is starting a new medication that is metabolized in the liver and excreted by the kidneys.Which is the best assessment to monitor the patient's ability to tolerate the medication?

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.Dopamine 3 mcg/kg/min has been ordered for this patient.What nursing implications should be considered when administering this drug to an older patient?

Which of the following nonsteroidal anti-inflammatory drugs (NSAIDs)has the side effect of renal failure, HTN, heart failure, and GI bleed in the elderly population?

An older patient is receiving a nephrotoxic medication.Which of the following would be a priority for the nurse to monitor?

An older patient is admitted to the hospital with an acute onset of mental changes and recent falls.The nurse knows that the most common cause of mental changes is

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction.Age-related changes in myocardial pumping ability may be evidenced by

A nurse is teaching an older patient about the signs and symptoms of a myocardial infarction.Which statement by the patient would indicate that the teaching was effective?

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Hematologic Disorders and Oncologic Emergencies

Filters