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Gero exam 3 Units 7-9 questions well answered already passed

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Gero exam 3 Units 7-9 questions well answered already passed

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Gero exam 3 Units 7-9 questions well
answered already passed

1. Know what aspect of pharmacokinetics is affected by the elder's intestinal motility pg. 107



Which pharmacokinetic parameter is affected most by decreased intestinal motility related to
the aging process?

a. Absorption

b. Distribution

c. Metabolism

d. Excretion - correct answer ✔✔ANS: A



2. Know what to teach elder about taking Fosamax pg. 108 - correct answer ✔✔Remain upright
for 30 min after dose, take in am before food and other meds, with lots of water, maintain good
oral hygiene



3. Know when to teach elder is best time to take diltiazem to prevent complications pg. 109



The nurse prepares to administer diltiazem (Cardizem LA) to an older adult with ischemic heart
disease. When is the optimum 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 - correct answer ✔✔ANS: B

,4. What lab must the nurse consider in the elder before giving vancomycin to the elder pg. 110



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 - correct answer ✔✔ANS: C



5. Know what to teach the elder about herbals and anticoagulants pg. 111 - correct answer
✔✔Avoid ginkgo, ginseng, grapefruit, leafy greens and chamomile



6. Know the good prescription and food or supplement interaction with warfarin, lithium, &
terazosin pgs. 111, 124



The interaction between each prescription and food or nutritional supplement is unfavorable
except for which of the following?

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 - correct answer ✔✔ANS: B



7. Know which body process is increased in the early morning pg. 112



Which process is not increased in the early morning?

a. Fibrinolytic activity

b. Osteoarthritis pain

, c. Asthma symptoms

d. Rheumatoid arthritis pain - correct answer ✔✔ANS: D



8. When teaching drug safety to the elder what should the nurse include pg. 116

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. - correct answer ✔✔ANS: C



9. Know how to properly ask elder about their medication compliance pg. 118



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?" - correct answer ✔✔ANS: C



10. Know suitable meds for elders pg. 121



Which is not on the list of drugs considered unsuitable for the older adult?

a. Indomethacin (Indocin)

b. Reserpine (Reserpine)

c. Chlorpheniramine (Chlor-Trimeton)

d. Venlafaxine (Effexor) - correct answer ✔✔ANS: D

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