Test bank - Advanced Practice Nursing in the Care of Older Adults, 3rd Edition Kennedy-Malone, Chapter 1 - 23

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AdvancedPracticeNursingintheCareofOlderAdults/ Edition2TESTBANK
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Chapter 1. Changes With Agingi i i i




Multiple Choice i




Identify the choice that best completes the statement or answers
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the question.
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1. The major impact of the physiological changes that occur with aging is:
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A. Reduced i physiological reserve i




B. Reduced i homeostatic mechanisms i




C. Impaired i immunological response i




D. All i of the above i i




2. The strongest evidence regarding normal physiological aging is available
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i through:
A. Randomized i controlled clinical trials i i




B. Cross-sectional i studies
C. Longitudinal i studies
D. Case i control studies i




3.All of the following statements are true about laboratory values in
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older adults
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except:
A. Reference i ranges are preferable i i




B. Abnormal findings are often due to physiological aging i i i i i i i




C. Normal ranges may not be applicable for older adults
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D. Reference i values are not necessarily acceptable values i i i i i




4. Biochemical individuality is best described as: i i i i i




A. Each i individual’s variation is often much greater than that of a i i i i i i i i i

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larger group i




B. The i unique biochemical profile of a selected population i i i i i i




C. The i truly “normal” individual—falling within average range
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D. Each individual’s variation is often much smaller than that of a
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i larger group i




5. Polypharmacy is best described as taking: i i i i i




A. More i than nine medications per day i i i i




B. More i than five medications per day i i i i




C. Even a single medication if there is not a clear indication for
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i its use i




D. When i a drug is given to treat the side effect of another drug
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6. Pharmacokinetic changes with aging is reflective of: i i i i i i




A. What i the drug does to the body i i i i i




B. What i the body does to the drug i i i i i




C. The effect at the site of action and the time and intensity of
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i the drug i




D. The i side effects commonly associated with the drug
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7. All the following statements are false about drug absorption except:
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A. Antacids increase the bioavailability of digitalis
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B. Gastric acidity decreases with age
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C. Anticholinergics increase colonic motility i i i




D. Underlying chronic disease has little impact on drug absorption
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8. All of the following statements are true about drug distribution in the
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elderly
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except:
A. Drugs distributed in water have lower concentration
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B. Drugs distributed in fat have less intense, more prolonged effect
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C. Drugs highly protein bound have greater potential to cause an adverse
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idrug reaction i




D. The fastest way to deliver a drug to the action site is by inhalation
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