TEST BANK For Advanced Practice Nursing in the
Care of Older Adults 3rd Edition by Evelyn G.
Kennedy-Malone, Laurie; Duffy
,MEDSTUDY.COM
Question
: The major impact of the physiological changes that occur
with aging is:
Student Reduced physiological reserve
Answer
: Reduced homeostatic
mechanisms Impaired
immunological response All of
the above
Instructor The major impact of all of these physiological changes can be
Explanatio highlighted with three primary points. First, there is a reduced
n: physiological reserve of most body systems, particularly cardiac,
respiratory, and renal. Second, there are reduced homeostatic
mechanisms that fail to adjust regulatory systems such as
temperature control and fluid and electrolyte balance.
Third, there is impaired immunological function: infection risk is
greater, and autoimmune diseases are more prevalent. (Kennedy-
Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014- 01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Question Question
2 : Men have faster and more efficient biotransformation of
. drugs and this is thought to be due to:
Student
Answer
:
,MEDSTUDY.COM
L han women Prostate
e enlargement Testosterone
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, MEDSTUDY.COM
Less estrogen than women
Instructor Men have faster and more efficient biotransformation, presumably
Explanatio because of serum testosterone. Conditions of increased or decreased
n: liver perfusion alter the overall level of the drug that is absorbed
and how it is metabolized. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014- 01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Question Question
3 : The cytochrome p system involves enzymes that are generally:
.
Student Inhibited by
Answer
: drugs Induced
by drugs
Inhibited or induced by drugs
Associated with decreased liver perfusion
Biotransformation occurs in all body tissues but primarily in the
Instructor
liver, where enzymatic activity (cytochrome P [CYP] system) alters
Explanation and detoxifies the drug and prepares it for excretion. (Kennedy-
: Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis