The nurse is aware that medicating with transdermal patches requires that the nurse should:
a. apply the patch at the same site every day and carry out documentation.
b. fold and dispose of the used patch in the sharps container.
c. warm the patch in hands prior to application.
d. cover the patch with a light gauze dressing to prevent dislodgement.
Question 2The nurse frequently assesses the older adult who is on a psychotropic drug for an overdose because:
a. older adults are less active.
b. the older adult has less cognitive capabilities.
c. brain receptors have become hypersensitive.
d. receptor sites have lower perfusion.
Question 3The home health nurse would be most concerned about self-medicating errors for the older adult living alone who is a type 1 diabetic and is:
a. afflicted with early Parkinson's disease.
b. visually impaired.
c. a rheumatoid arthritic with stiffened hands.
d. paralyzed from the waist down.
Question 4The major risk of polypharmacy for the older adult is the patient's:
a. ignorance about his or her prescriptions.
b. taking over-the-counter preparations.
c. being treated by more than one physician.
d. taking old prescriptions rather than consulting a physician.
Question 5The nurse cautions the older adult who is taking the protein-bound drug warfarin (Coumadin) that, with age-related reduced plasma protein levels, the risk of an adverse reaction is high because:
a. unbound active drug molecules continue to circulate in the bloodstream.
b. the bleeding and clotting time will decrease, as evidenced by the PT and INR.
c. the drug becomes ineffective and does not deliver its intended therapeutic action.
d. renal damage can occur from the altered drug molecules.
Question 6The nurse takes into consideration that as adipose tissue replaces muscle mass in the older adult, a person taking a fat-soluble drug such as diazepam (Valium) several times a day would exhibit:
a. tachycardia.
b. a hangover effect.
c. agitation.
d. hypertension.
Question 7To help prevent lithium toxicity in the older adult, the nurse modifies the nursing care plan to include interventions to:
a. increase fluid intake to 3500 ml daily.
b. have the patient ambulate for 10 minutes after the drug is administered.
c. prohibit citrus fruit in the diet.
d. administer a prescribed stool softener to ensure a daily bowel movement.
Question 8The nurse is aware that age-related changes in the stomach that can cause increased drug absorption and possibly toxicity include:
a. decreased gastric motility.
b. gastric reflux disease.
c. inability of gastric cells to transport the drug.
d. decreased peristalsis.
Question 9The nurse assesses the older adult patient for evidence of the onset of the effectiveness of an oral preparation because age-related changes in the concentration of gastric acid can:
a. change the chemical composition of the drug.
b. increase the distribution.
c. decrease the strength of the drug.
d. retard absorption.
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