NR 508 Pharm Week 8 Exam Latest Updated 2024
Robert is a 72-year-old patient who has hypertension and angina. He is at
risk for common medication practices seen in the elderly including:
1. Use of another person's medications
2. Hoarding medications
3. Changing his medication regimen without telling his provider
4. All of the above - 4. All of the above
To improve positive outcomes when prescribing for the elderly the nurse
practitioner should:
1. Assess cognitive functioning in the elder
2. Encourage the patient to take a weekly "drug holiday" to keep drug
costs down
3. Encourage the patient to cut drugs in half with a knife to lower costs
4. All of the above - 1. Assess cognitive functioning in the elder
,When an elderly diabetic patient is constipated the best treatment options
include:
1. Mineral oil
2. Bulk-forming laxatives such as psyllium
3. Stimulant laxatives such as senna
4. Stool softeners such as docusate - 4. Stool softeners such as docusate
Principles of prescribing for older adults include:
1. Avoiding prescribing any newer high-cost medications
2. Starting at a low dose and increasing the dose slowly
3. Keeping the total dose at a lower therapeutic range
4. All of the above - 2. Starting at a low dose and increasing the dose
slowly
Sadie is a 90-year-old patient who requires a new prescription. What
changes in drug distribution with aging would influence prescribing for
Sadie?
1. Increased volume of distribution
,2. Decreased lipid solubility
3. Decreased plasma proteins
4. Increased muscle-to-fat ratio - 3. Decreased plasma proteins
Glen is an 82-year-old patient who needs to be prescribed a new drug.
What changes in elimination should be taken into consideration when
prescribing for Glen?
1. Increased glomerular filtration rate (GFR) will require higher doses of
some renally excreted drugs.
2. Decreased tubular secretion of medication will require dosage
adjustments.
3. Thin skin will cause increased elimination via sweat.
4. Decreased lung capacity will lead to measurable decreases in lung
excretion of drugs. - 2. Decreased tubular secretion of medication will
require dosage adjustments.
A medication review of an elderly person's medications involves:
1. Asking the patient to bring a list of current prescription medications to
the visit
, 2. Having the patient bring all of their prescription, over-the-counter, and
herbal medications to the visit
3. Asking what other providers are writing prescriptions for them
4. All of the above - 4. All of the above
Steps to avoid polypharmacy include:
1. Prescribing two or fewer drugs from each drug class
2. Reviewing a complete drug history every 12 to 18 months
3. Encouraging the elderly patient to coordinate their care with all of their
providers
4. Evaluating for duplications in drug therapy and discontinuing any
duplications - 4. Evaluating for duplications in drug therapy and
discontinuing any duplications
Delta is an 88-year-old patient who has mild low-back pain. What
guidelines should be followed when prescribing pain management for
Delta?
1. Keep the dose of oxycodone low to prevent development of tolerance.
2. Acetaminophen is the first-line drug of choice.
Robert is a 72-year-old patient who has hypertension and angina. He is at
risk for common medication practices seen in the elderly including:
1. Use of another person's medications
2. Hoarding medications
3. Changing his medication regimen without telling his provider
4. All of the above - 4. All of the above
To improve positive outcomes when prescribing for the elderly the nurse
practitioner should:
1. Assess cognitive functioning in the elder
2. Encourage the patient to take a weekly "drug holiday" to keep drug
costs down
3. Encourage the patient to cut drugs in half with a knife to lower costs
4. All of the above - 1. Assess cognitive functioning in the elder
,When an elderly diabetic patient is constipated the best treatment options
include:
1. Mineral oil
2. Bulk-forming laxatives such as psyllium
3. Stimulant laxatives such as senna
4. Stool softeners such as docusate - 4. Stool softeners such as docusate
Principles of prescribing for older adults include:
1. Avoiding prescribing any newer high-cost medications
2. Starting at a low dose and increasing the dose slowly
3. Keeping the total dose at a lower therapeutic range
4. All of the above - 2. Starting at a low dose and increasing the dose
slowly
Sadie is a 90-year-old patient who requires a new prescription. What
changes in drug distribution with aging would influence prescribing for
Sadie?
1. Increased volume of distribution
,2. Decreased lipid solubility
3. Decreased plasma proteins
4. Increased muscle-to-fat ratio - 3. Decreased plasma proteins
Glen is an 82-year-old patient who needs to be prescribed a new drug.
What changes in elimination should be taken into consideration when
prescribing for Glen?
1. Increased glomerular filtration rate (GFR) will require higher doses of
some renally excreted drugs.
2. Decreased tubular secretion of medication will require dosage
adjustments.
3. Thin skin will cause increased elimination via sweat.
4. Decreased lung capacity will lead to measurable decreases in lung
excretion of drugs. - 2. Decreased tubular secretion of medication will
require dosage adjustments.
A medication review of an elderly person's medications involves:
1. Asking the patient to bring a list of current prescription medications to
the visit
, 2. Having the patient bring all of their prescription, over-the-counter, and
herbal medications to the visit
3. Asking what other providers are writing prescriptions for them
4. All of the above - 4. All of the above
Steps to avoid polypharmacy include:
1. Prescribing two or fewer drugs from each drug class
2. Reviewing a complete drug history every 12 to 18 months
3. Encouraging the elderly patient to coordinate their care with all of their
providers
4. Evaluating for duplications in drug therapy and discontinuing any
duplications - 4. Evaluating for duplications in drug therapy and
discontinuing any duplications
Delta is an 88-year-old patient who has mild low-back pain. What
guidelines should be followed when prescribing pain management for
Delta?
1. Keep the dose of oxycodone low to prevent development of tolerance.
2. Acetaminophen is the first-line drug of choice.
