NSG318 TOPIC 4, NSG 318 EXAM 2- DRUGCARDSQUESTIONS AND CORRECT DETAILED ANSWERSLATESTDOWNLOAD 2024/2025 BEST SOLUTIONRATEDA+FORSUCCESS

NSG318 TOPIC 4, NSG 318 EXAM 2- DRUGCARDSQUESTIONS AND CORRECT DETAILED ANSWERSLATESTDOWNLOAD 2024/2025 BEST SOLUTIONRATEDA+FORSUCCESSWhat are the risk factors of polypharmacy? - CORRECT ANSWERS female, advanced age, multiple health care providers, use of OTC to herbals, multiplechronic diseases Pharmacotherapy - CORRECT ANSWERS the application of drugs for thepurposeof disease prevention and treatment of suffering What is the Beers criteria? - CORRECT ANSWERS lists potentially inappropriatedrugs that lead to adverse effects in the elderly -renal dosing of drugs -drug-drug interactions -provides safety info What are the 5 adverse drug events? - CORRECT ANSWERS adverse drugreactions medication errors therapeutic failures adverse drug withdrawal events overdoses ONLYSTUDENT STORE 2024/2025 ALL THEBESTONLYSTUDENT STORE 2 DO NOT COPYadherence - CORRECT ANSWERS ability of a patient to adhere/comply toamedication regimen What can cause medical nonadherence? - CORRECT ANSWERS patient not understanding the drug regimen cognitive/physical/financial difficulties nonadherence can cause under or over dosing What are key points in health teaching for an older adult? - CORRECT ANSWERShave the patients senses be as sharp as possible speak in tones patient can hear face patient when speaking respect large print and bright colors on teaching aids review all drugs at each visit (drug reconciliation) Vial of life simple dosing schedule encourage patient to report if the drug is not improving condition memory aids drug reconciliation - CORRECT ANSWERS The process of identifying themost accurate list of all medications a patient is taking ONLYSTUDENT STORE 2024/2025 ALL THEBESTONLYSTUDENT STORE 3 DO NOT COPYvial of life - CORRECT ANSWERS medical information for emergency personnel touse in the provision of care (document who to contact and patient wishes) What are some items that the nurse should ASSESS related to an elderly client?- CORRECT ANSWERS sensory and cognitive barriers vitals, labs, weight, allergies drug reconciliation does patient need help with costs or transportation does patient live alone side or adverse effects? What is included in the nursing DIAGNOSIS of an elderly client? - CORRECTANSWERS health maintenance therapeutic regimen management knowledge: teach the patient about the new medication What is included in the PLANNING/ what is your goal as the nurse for an elderlyclient who is prescribed a medication? - CORRECT ANSWERS develop adrugregimen that is congruent w health goals and fits well with the patient lifestylelist resources the patient can use for support have them teach the regimen back to you What nursing INTERVENTIONS/IMPLEMENTATION would help you attainyour goals for your patient? - CORRECT ANSWERS monitor labs check for side or adverse effects check for changes in behavior ONLYSTUDENT STORE 2024/2025 ALL THEBESTONLYSTUDENT STORE 4 DO NOT COPYtell them to inform the nurse about any OTC or CAMs What are the physiologic changes of a geriatric patient? - CORRECT ANSWERSreduction in total body water and lean body mass increase in body fat reduction in kidney and liver mass and function reduction in process that maintains equilibrium What affects absorption in a geriatric patient? - CORRECT ANSWERSGI changesdecrease in bowel surface area slowed gastric emptying decrease gastric blood flow decrease swallowing ability decreased nutrition What affects distribution in geriatric patients? - CORRECT ANSWERSdecreaseinmuscle mass an increase in fat in patients so LIPID SOLUBLE DRUGSHAVEINCREASED DISTRIBUTION AND DECREASED ELIMINATION decrease in albumin so increase in free drugs increase in therapeutic effects as well as drug toxicity What affects metabolism in geriatric patients? - CORRECT ANSWERSdecreasedhepatic blood flow deceased first pass metabolism increased half life ONLYSTUDENT STORE 2024/2025 ALL THEBESTONLYSTUDENT STORE 5 DO NOT COPYWhat affects excretion in geriatric patients? - CORRECT ANSWERS decreasedrenal excretion resulting in prolonged half life and elevated drug levels What affects the pharmacodynamics in geriatric patients? - CORRECT ANSWERSage related changes in CNS and cardiovascular system (drugs can more easilypassthe BBB) changes in the number of drug receptors changes in the sensitivity of receptors to drugs compensatory response to physiologic changes is decreased Polypharmacy - CORRECT ANSWERS use if more medications than is medicallynecessar