Chapter: 40. Common Physical Care Problems of the Older Adult

The nurse lists the most common causes of polypharmacy as: (Select all that apply.) a. use of mail order sources. b. being prescribed to by several health care providers. c. sharing drugs with others. d. many drugs being prescribed under different names. e. availability of OTC medications. ANS: A, B, D, E Treatment by several health care providers, many drugs prescribed under different names, ordering drugs from mail order sources, and the extensive availability of OTC medications increase the risk for polypharmacy. DIF: Cognitive Level: Comprehension REF: p. 824 OBJ: Theory #9 TOP: Polypharmacy KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control S - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Knowledge REF: p. 823 OBJ: Theory #2 TOP: Tinnitus KEY: Nursing Pr cess Step: Assessmen t 2. The older adults, especially women, are at high risk for decreased mobility. Which nutrient(s) are critical for women to take to decrease this risk? (Select all that apply.) a. Protein b. Fat c. Carbohydrates d. Calcium e. Vitamin D ANS: D, E Proper treatment for arthritis and osteoporosis will help prevent immobility problems. Estrogen replacement therapy (ERT) and adequate dietary or supplemental calcium and vitamin D in combination with weight bearing exercise are protective against osteoporosis in women. DIF: Cognitive Level: Comprehension REF: p. 821|Table 40-3 OBJ: Theory #5 TOP: Mobility and Nutrients KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. A nurse reviewing the medication list for an older adult patient notices several drugs that would increase the risk of falls because of orthostatic hypotension, which are: (Select all that apply.) a. anticoagulants. b. diuretics. c. stool softeners. d. antihypertensives. e. antihistamines. ANS: B, D, E Diuretics, hypertensives, and antihistamines contribute to orthostatic hypotension, a common cause of falls. DIF: Cognitive Level: Comprehension REF: p. 818 OBJ: Theory #2 TOP: Multi pharmacy KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological Therapies