NUR 326 EXAM 2 GERO QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
What are common anticholinergic side effects of the 10 medications to avoid? -
Answers -confusion, blurred vision, constipation, problems urinating, dry mouth
What are the 10 meds to avoid in older adults? - Answers -digoxin >.125mg, muscle
relaxants, benzodiazepines, sedatives-hypnotics, antihistamines and any drug with
anticholinergic side effects, NSAIDs, certain diabetes drugs, certain anticholinergic
drugs, antipsychotics, estrogen pills and patches
Why should NSAIDs be used with caution in older adults? - Answers -they increase the
risk of bleeding stomach ulcers; they can also increase bp, affect your kidneys, and
make heart failure worse
Why should digoxin be used with caution? - Answers -it can be toxic in older people
whose kidneys do not work well
Why do we use muscle relaxants with caution in the elderly? - Answers -they can make
them groggy, confused, increase the risk of falls, and cause constipation, dry mouth,
and problems urinating
Why are we concerned about benzodiazepines with the elderly? - Answers -they can
increase risk for falls and confusion
What are certain anticholinergic drugs a concern? - Answers -they can cause
confusion, constipation, dry mouth, blurry vision, and problems urinating in men
Why do we use antipsychotics with caution in older adults? - Answers -they increase
the risk of stroke and death in older adults with dementia
Key reasons for adverse drug effects in older adults? - Answers -polypharmacy,
increased risk for allergic reaction, decreased pharmokietics
What are the most common deficiencies experienced by older adults? - Answers -
vitamin B12 deficiency
Key assessments for malnutrition - Answers -interview, history, physical examination,
anthropometric data, lab data, food/nutrient intake, and functional assessment
Examples of lab data for malnutrition - Answers -CBC, protein status, lipid profile,
electrolytes, BUN
ACCURATE ANSWERS
What are common anticholinergic side effects of the 10 medications to avoid? -
Answers -confusion, blurred vision, constipation, problems urinating, dry mouth
What are the 10 meds to avoid in older adults? - Answers -digoxin >.125mg, muscle
relaxants, benzodiazepines, sedatives-hypnotics, antihistamines and any drug with
anticholinergic side effects, NSAIDs, certain diabetes drugs, certain anticholinergic
drugs, antipsychotics, estrogen pills and patches
Why should NSAIDs be used with caution in older adults? - Answers -they increase the
risk of bleeding stomach ulcers; they can also increase bp, affect your kidneys, and
make heart failure worse
Why should digoxin be used with caution? - Answers -it can be toxic in older people
whose kidneys do not work well
Why do we use muscle relaxants with caution in the elderly? - Answers -they can make
them groggy, confused, increase the risk of falls, and cause constipation, dry mouth,
and problems urinating
Why are we concerned about benzodiazepines with the elderly? - Answers -they can
increase risk for falls and confusion
What are certain anticholinergic drugs a concern? - Answers -they can cause
confusion, constipation, dry mouth, blurry vision, and problems urinating in men
Why do we use antipsychotics with caution in older adults? - Answers -they increase
the risk of stroke and death in older adults with dementia
Key reasons for adverse drug effects in older adults? - Answers -polypharmacy,
increased risk for allergic reaction, decreased pharmokietics
What are the most common deficiencies experienced by older adults? - Answers -
vitamin B12 deficiency
Key assessments for malnutrition - Answers -interview, history, physical examination,
anthropometric data, lab data, food/nutrient intake, and functional assessment
Examples of lab data for malnutrition - Answers -CBC, protein status, lipid profile,
electrolytes, BUN
