BSN425 Essential Medication Safety Quiz for Older Adults Questions and Answers Best rated A+ Guaranteed Success Latest Update Nightingale College

Which classification of drugs is on the list of potentially inappropriate medications (PIM) for older adults and should be avoided except in extreme cases? Warfarin Acetaminophen Benzodiazepines Narcotic analgesics Benzodiazepines are associated with an increased risk for accidental injury and are on the PIM list and not recommended for older adults. Warfarin is prescribed for many older adults who have pacemakers, who have had transient ischemic attacks (TIAs), or have cardiac issues. Close monitoring of the client’s international normalized ratio (INR) must be conducted. Acetaminophen is an over-the-counter medication that, if taken as directed, will cause no problems. Narcotic analgesics can be prescribed; however, the older adult’s age and condition are considerations. The change in the effectiveness of two or more substances when used in combination refers to which one of the following terms? oorrrreecctt!! Question 4 2 / 2 pts Biotransformation o or rr reec ct t! ! Potentiate Bioavailability Iatrogenic When two or more products of any kind are taken at the same time or closely together (e.g., food, another drug) one can potentiate or cause it to have stronger effects when given alone or antagonize or lower the potency or inactivate the other. Biotransformation is a series of chemical alterations of a drug that occur in the body. Bioavailability is the amount of a drug that becomes available to effect changes in the target tissues. Iatrogenic is a result of something that is performed or administered to a person in the context of providing care. Question 3 2 / 2 pts Which of the following is an INCORRECT statement about antipsychotic drug use in older patients? May increase risk of stroke in patients with dementia May be used to treat agitation in nonpsychotic patients May reduce paranoia but increase confusion Are not useful for dementia-related behavior problems (eg, wandering, yelling, uncooperativeness) In nonpsychotic, agitated patients, antipsychotics control symptoms only marginally better than placebo and can have severe adverse effects For older patients with insomnia, which of the following measures should be tried first? Short-term benzodiazepines Short-term nonbenzodiazepine hypnotics oorrrreecctt!! Question 6 2 / 2 pts Referral for cognitive behavior therapy o or rr reec ct t! ! Investigation into the causes of insomnia Treatable causes of insomnia should be sought and managed before using hypnotics. Benzodiazepines should not be used to treat insomnia in older people. They may be appropriate for treatment of anxiety or panic attacks in older people. Short-, intermediate-, and long-acting benzodiazepines are associated with increased risk of cognitive impairment, delirium, falls, fractures, and motor vehicle crashes in older people. Nonbenzodiazepine hypnotics (eg, zolpidem, eszopiclone, zaleplon) are options for short-term use if nonpharmacologic measures such as cognitive behavior therapy and sleep hygiene measures do not work. Question 5 2 / 2 pts You, as a nurse, have been working with an older, male, adult client who is starting a new medication. Over the last 2–3 days, you notice that he has become confused and lethargic, more so than in the past. What do you suspect he is experiencing? Polypharmacy Adverse drug reaction (ADR) Chronopharmacology Misuse of drugs