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1. What is osteoporosis characterized by? - Correct Answer: Excessive loss
of calcium from bone combined with insufficient replacement.
2. What type of exercise is recommended for osteoporosis prevention? -
Correct Answer: 30-minute weight bearing exercise per day.
3. What does the acronym ACCESS stand for in relation to osteoporosis risk
factors? - Correct Answer: Alcohol, low calcium, corticosteroid use, low
estrogen, smoking, and sedentary lifestyle.
4. In which demographic is osteoporosis mostly found? - Correct Answer:
Older Caucasian women.
5. What is a UTI? - Correct Answer: A bacterial infection that affects the
urinary tract, including the kidneys, ureters, bladder, and urethra.
6. What are common symptoms of a UTI in older adults? - Correct Answer:
Confusion, bad odor in urine, low-grade fever, and sediment in the urine.
,7. What is respite care? - Correct Answer: Care given for a period that
provides a break for the primary caregiver.
8. What are five things to ask when collecting a medication list or history? -
Correct Answer: Current medications, prescription medications, over-
the-counter medications, herbal supplements, and vitamins.
9. What is ageism? - Correct Answer: Discrimination against age.
10.How often should the flu vaccine be administered? - Correct Answer:
Annually.
11.What is the recommendation for the pneumonia vaccine? - Correct
Answer: One or both doses depending on medical history.
12.What is the FDA's stance on supplements related to aging? - Correct
Answer: Supplements have not been proven to slow the aging process and
are not FDA approved.
13.What risks can supplements pose? - Correct Answer: They can cause
interactions with some prescription medications.
14.What cognitive changes can increase the risk for medication errors in older
adults? - Correct Answer: Lack of literacy skills, inability to understand
directions, and poor judgment about medications.
,15.What sensory changes may affect older adults' ability to manage
medications? - Correct Answer: Changes in touch, taste, smell, hearing,
and vision.
16.What is presbycusis? - Correct Answer: Loss of hearing.
17.What risks are associated with inadequate knowledge of medications in
older adults? - Correct Answer: Sharing medications, misunderstanding
OTC medications, and misuse of alcohol.
18.How can older adults reduce risks related to medication management? -
Correct Answer: Assessing ability to read labels, patient education, and
using special labels or magnifying devices.
19.How are drugs absorbed in the body? - Correct Answer: Drugs are
absorbed through the GI tract.
20.How does body weight affect drug absorption? - Correct Answer:
Increased weight decreases absorption, while IV, epidural, and sublingual
routes increase absorption.
21.What are the routes of drug administration that are decreased for oral and
rectal use? - Correct Answer: Moderate through IM (intramuscular) and
subQ (subcutaneous) routes.
, 22.How does aging affect the distribution of water-soluble drugs? - Correct
Answer: Water-soluble drugs tend to remain in high concentration in the
bloodstream due to less total body water.
23.What happens to fat-soluble drugs as a person ages? - Correct Answer:
Fat-soluble drugs become trapped in fatty tissue because of decreased
muscle mass and increased adipose tissue.
24.What nursing interventions should be taken when administering
medications to older adults? - Correct Answer: Administer drugs as
ordered, give slower and lower amounts, and assess physical and numeric
age along with past drug issues.
25.What changes occur in drug metabolism with aging? - Correct Answer:
Aging results in decreased liver cell activity, reducing the liver's
effectiveness in metabolizing drugs and increasing the risk for toxicity.
26.What are the signs of hypothermia in older adults? - Correct Answer:
Signs include mental confusion, decreased pulse and respiratory rate,
decreased body temperature, cool/cold skin, pallor or cyanosis, swollen and
puffy face, and muscle stiffness.
27.What is the first nursing intervention for a hypothermic patient in wet
clothes? - Correct Answer: Remove wet clothes and get the patient dry.