Protein-bound medications frequently cause side effects in older adults because

Protein-bound medications frequently cause side effects in older adults because
 
  a. Older adults are more susceptible to adverse drug reactions
  b. Older adults often have a decreased serum albumin level that increases the amount of free drug
  c. Older adults take many drugs, and adverse drug reactions are primarily caused by polypharmacy
  d. Older adults do not have adequate kidney function to excrete protein-bound drugs

Question 2

Slowed gastrointestinal motility and delayed gastric emptying time, coupled with a decrease in gastrointestinal blood flow in older adults, affect the
 
  a. Absorption of medications
  b. Distribution of ingested drugs through the body
  c. General intolerance of oral medications experienced by older adults
  d. Excretion of most drugs through the bowel

Question 3

Katherine O'Grady, 89 years old, lived alone in her small, two-bedroom home until her cerebrovascular accident (CVA) 2 weeks ago. She had been very independent and required assistance only with transportation to shop, bank, and get to appointments.
 
  She has multiple bruises on her dependent arm from bumping it on walls, furniture, and her wheelchair. One of her diagnoses states unilateral neglect. What is the cause of unilateral neglect?
  a. Left hemisphere CVA
  b. Brainstem involvement
  c. Loss of visual fields related to the CVA
  d. Total loss of movement or sensations

Question 4

Harold Dannon, 68 years old, had his blood pressure checked at the senior citizen center, and the nurse sent him to the physician because his blood pressure was 207/110 mm Hg. When you question Mr.
 
  Dannon about his dosage of Calan SR, he states that he quit taking it because he was too constipated. What is your best response?
  a. Mr. Dannon, you know that you have to take your blood pressure medicine no matter how you feel. You could have had a stroke in the middle of the senior center
  b. Constipation is a problem with that medication. What did you try to help relieve the constipation while you were taking Calan?
  c. There are many different kinds of blood pressure medicines. You could have just called the office, and we would have called in a prescription for something else
  d. I told you that you could get a little consti-pated. You can't quit taking a blood pressure medication without first telling the doctor

Question 5

Teaching self-care for older adults with chronic obstructive pulmonary disease (COPD) should include all of the following except
 
  a. Engage in an aggressive aerobic exercise program to promote effective oxygen use
  b. Recognize signs and symptoms of infection, such as cough or changes in sputum
  c. Keep track of a medication schedule
  d. Obtain influenza and pneumococcal immunizations to prevent infections

Question 6

An older adult who skips doses of medication so the medication lasts longer may be experiencing
 
  a. Knowledge deficit related to proper dosing of medication
  b. Increasing confusion
  c. Financial difficulties
  d. Inability to read the label for the correct dosing

Question 7

The primary symptoms of chronic obstructive pulmonary disease (COPD) are
 
  a. Heart palpitations and difficulty breathing
  b. Cough, shortness of breath, and dyspnea on exertion
  c. Peripheral edema, cyanotic nail beds, and heart palpitations
  d. Cough, joint pain, and peripheral edema