NUR 202 - EXAM 1
QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT;
GRADE A
"Geriatric Triad" - correct answer- Changes in
cognitive status, falls and incontinence
*Altered Drug Responses in Older Adults:* Absorption -
correct answer- - Reduced GI motility;
prolonged gastric emptying
- Reduced gastric acid; increased pH delays absorption
*Altered Drug Responses in Older Adults:* Distribution -
correct answer- - Decreased circulating plasma
proteins and total body water cases serious alteration in
drug binding to plasma proteins leading to ↑ effects and
accelerated metabolism and excretion
,- Reduced cardiac output causes ↓ perfusion of body
organs
- Impaired peripheral blood flow leads to ↓ perfusion
- Increased or decreased % body fat can lead to drug
accumulation, prolonged storage and delayed excretion
- Decreased lean body mass allows for higher peak levels
of medications
*Altered Drug Responses in Older Adults:* Excretion -
correct answer- Decreased renal blood flow,
loss of functioning nephrons, decreased renal efficiency
leads to ↓ rates of elimination and ↑ duration of action -
danger of accumulation and drug toxicity
*Altered Drug Responses in Older Adults:* Metabolism -
correct answer- Decreased cardiac output,
decreased liver size, diminished intestinal and portal vein
flow delays breakdown of medications, resulting in
,prolonged duration of action, accumulation, and drug
toxicity
*Assessment of the Home Environment:* Exterior -
correct answer- - Steps (unsafe?)
- Porch
- Litter
- Noise
- Adequate lighting
*Assessment of the Home Environment:* Interior -
correct answer- - Accessible bathroom
- Level, safe floor surface
- Number of rooms
- Privacy
- Sleeping arrangements
- Refrigeration
- Trash management
- Animals
, - Adequate lighting
- Steps/stairs
*Assessment of the Home Environment:* Safety Factors -
correct answer- - Smoke detectors
- Working telephone
- Placement of electrical cords
- Emergency plan
- Emergency phone numbers displayed
- Safe portable heaters
- O2 in use
- Obstacle-free paths
*Assessment of the Home Environment:* Safety Hazards
- correct answer- - Inadequate floor, roof, or
windows
- Inadequate lighting
- Unsafe gas/electric appliances
- Inadequate heating
QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT;
GRADE A
"Geriatric Triad" - correct answer- Changes in
cognitive status, falls and incontinence
*Altered Drug Responses in Older Adults:* Absorption -
correct answer- - Reduced GI motility;
prolonged gastric emptying
- Reduced gastric acid; increased pH delays absorption
*Altered Drug Responses in Older Adults:* Distribution -
correct answer- - Decreased circulating plasma
proteins and total body water cases serious alteration in
drug binding to plasma proteins leading to ↑ effects and
accelerated metabolism and excretion
,- Reduced cardiac output causes ↓ perfusion of body
organs
- Impaired peripheral blood flow leads to ↓ perfusion
- Increased or decreased % body fat can lead to drug
accumulation, prolonged storage and delayed excretion
- Decreased lean body mass allows for higher peak levels
of medications
*Altered Drug Responses in Older Adults:* Excretion -
correct answer- Decreased renal blood flow,
loss of functioning nephrons, decreased renal efficiency
leads to ↓ rates of elimination and ↑ duration of action -
danger of accumulation and drug toxicity
*Altered Drug Responses in Older Adults:* Metabolism -
correct answer- Decreased cardiac output,
decreased liver size, diminished intestinal and portal vein
flow delays breakdown of medications, resulting in
,prolonged duration of action, accumulation, and drug
toxicity
*Assessment of the Home Environment:* Exterior -
correct answer- - Steps (unsafe?)
- Porch
- Litter
- Noise
- Adequate lighting
*Assessment of the Home Environment:* Interior -
correct answer- - Accessible bathroom
- Level, safe floor surface
- Number of rooms
- Privacy
- Sleeping arrangements
- Refrigeration
- Trash management
- Animals
, - Adequate lighting
- Steps/stairs
*Assessment of the Home Environment:* Safety Factors -
correct answer- - Smoke detectors
- Working telephone
- Placement of electrical cords
- Emergency plan
- Emergency phone numbers displayed
- Safe portable heaters
- O2 in use
- Obstacle-free paths
*Assessment of the Home Environment:* Safety Hazards
- correct answer- - Inadequate floor, roof, or
windows
- Inadequate lighting
- Unsafe gas/electric appliances
- Inadequate heating
