Ch. 11: Safe Medication Use Study Guide

factors that affect lipophilic medications in older adults include what? - ANSWERSgreater adipose tissue ratio to body mass which pharmacokinetic/pharmacodynamic parameter does aging least affect? - ANSWERSabsorption what factor is an important contribution to polypharmacy in older adults? - ANSWERSinadequate communication among providers the area in which nurses have the greatest effect on the safe, effective medication therapy of an older adult is what? - ANSWERSeducating the client to all aspects of the medication when developing a teaching plan for an older, newly diabetic client, the nurse best ensures an understanding of oral hypoglycemic medications when providing what? - ANSWERSoral explanations and a written copy the nurse suspects the client is experiencing tardive dyskinesia when observing what? - ANSWERSthe clients facial muscles are twisting involuntarily the Beers criteria is an effective tool for health care professionals prescribing and/or managing med therapy of older adults. it identifies what about meds in older patients? - ANSWERShave a higher than usual risk for injury when performing the initial assessment on a new client in a geriatric outpatient practice, the most effective method the nurse can elicit for med assessment is what? - ANSWERSbrown bag approach when discussing pharmacological considerations a 68 yo client asks "why do meds seem to act differently when they did when I was younger?" the bases the response on what concept? - ANSWERSage-related changes affect they way drugs are metabolized the nurse's first response when told by a client during an assessment interview that he "can't take furosemide (Lasix)" is to ask what? - ANSWERScan you describe what happened when you took Lasix? an 81 yo patient is being discharged from the hospital to home. she is on seven different meds, which are to be taken at 4 different times during the day. what would be the most useful for the patient? - ANSWERSa pillbox with written compartments for each day and dose a 77 yo immigrate to the US, 15 years ago, lives alone in a complex where her sister lives as well. she is being discharged home after hospitalization for CHF with prescriptions for 8 meds. she is considered at risk for noncompliance due to what factors? (SATA) - ANSWERSlanguage barrier; lives alone; and large number of meds an antihypertensive med has been prescribed for an older patient with HTN. the patient tells a clinic nurse that he would like to take an herbal substance to help lower his BP instead if a prescription. which of the following should the nurse do? (SATA) - ANSWERSencourage patient to discuss use of an herbal substance with his PCP; explore which substance patient plans to take; and educate the patient on possible interactions a an older client is prescribed a transdermal morphine patch for severe chronic pain is being educated on appropriate med admin. the nurse shows an understanding of the drug route when stating what? (SATA) - ANSWERSeffective for delivering small doses over long periods; since you have problems with digestion this is a good way to take meds; please show me how you apply the path; and be sure to avoid placing patch on injured skin an older patient is prescribed warfarin for stroke prevention. a nurse is providing patient education. which of the following foods should be taught to be avoided? (SATA) - ANSWERSkale and spinach