NSG-318 Exam 1 Study Guide with
Verified Solutions
FDA required drug manufacturers to test on children for safety and effectiveness. ✔✔ Pediatric
Research Equity Act
calcium citrate because it requires a less acidic environment for dissolution ✔✔ which form of
calcium is preferred for older adult patients
liver size and blood flow ✔✔ a reduction in which physiological characteristic in the older adult
reduces the hepatic clearance of drugs
pharmacist ✔✔ which member of the health care team is responsible for conducting a clinical
review of the patient's drugs to ensure appropriateness of therapy and reduce the risk for
polypharmacy in the older adult
lean body mass, total body water ✔✔ A reduction in _______ and _____ alters the volume of
distribution of drugs in the older adult
delayed gastric emptying due to decrease in peristalsis ✔✔ what age-related pharmacokinetic
change to the GI system does the older adult experience
falls, confusion, nonadherence ✔✔ adverse effects of polypharmacy
cytochrome P450 ✔✔ which chemical responsible for the breakdown of drugs has reduced
activity in older adults
,beta blockers, beta 2-adrenergic agonists ✔✔ older adults experience a reduction in response
to what drug classes due to a loss in sensitivity in adrenergic receptors
metabolism of the med will be decreased ✔✔ increased age leads to what difference in the way
in which the hepatic system affects most meds
excessive bleeding ✔✔ what adverse response would you assess for in an older adult taking an
anticoagulant med
age, weight, serum creatinine, and creatinine clearance ✔✔ which factors are used in
calculating GFR using Cockroft-Gault formula
electrolyte imbalance ✔✔ what adverse response would you assess for in an older adult taking
a diuretic med
drug half-life is lengthened ✔✔ physiologic changes that normally occur in the older adult have
what implication for drug response
reduced metabolism ✔✔ in an older adult patient with elevated AST and ALT will experience
what change
10-15% ✔✔ what percentage reduction of total body water occurs in older adults
start low and go slow ✔✔ general practice to reduce chances of drug toxicity in older adults
it decreases with age ✔✔ what is the effect of aging on renal excretion of drugs
, confusion ✔✔ what is one of the first signs of drug toxicity in an older adult
use memory aids such as a pill organizer or alarm ✔✔ an older patient states that they know
the medication is due to be taken before breakfast but that they always forget. What
intervention by the nurse is appropriate
if the patient's heart rhythm was irregular ✔✔ an older adult with hypertension has been
prescribed a diuretic. what assessment finding would prompt the nurse to hold the medication
and contact the health care provider
altered glycemic response ✔✔ a nurse assesses an older patient taking antidiabetic drugs for
what adverse effect
postural hypotension ✔✔ a nurse assesses an older patient taking a drug meant to lower BP for
what adverse effect
computerized order entry ✔✔ what method helps standardize med prescriptions
physician, podiatrist, dentist, PA, NP ✔✔ which health care providers have the training that
allows them to legally prescribe meds for patients
name of patient, drug name, and name of provider ✔✔ while checking a prescription, what
should the nurse specifically check
potential for patient harm is greater ✔✔ what are "high alert" meds
date of drug prescription ✔✔ the nurse verifies which information in the med prescription
before administering
Verified Solutions
FDA required drug manufacturers to test on children for safety and effectiveness. ✔✔ Pediatric
Research Equity Act
calcium citrate because it requires a less acidic environment for dissolution ✔✔ which form of
calcium is preferred for older adult patients
liver size and blood flow ✔✔ a reduction in which physiological characteristic in the older adult
reduces the hepatic clearance of drugs
pharmacist ✔✔ which member of the health care team is responsible for conducting a clinical
review of the patient's drugs to ensure appropriateness of therapy and reduce the risk for
polypharmacy in the older adult
lean body mass, total body water ✔✔ A reduction in _______ and _____ alters the volume of
distribution of drugs in the older adult
delayed gastric emptying due to decrease in peristalsis ✔✔ what age-related pharmacokinetic
change to the GI system does the older adult experience
falls, confusion, nonadherence ✔✔ adverse effects of polypharmacy
cytochrome P450 ✔✔ which chemical responsible for the breakdown of drugs has reduced
activity in older adults
,beta blockers, beta 2-adrenergic agonists ✔✔ older adults experience a reduction in response
to what drug classes due to a loss in sensitivity in adrenergic receptors
metabolism of the med will be decreased ✔✔ increased age leads to what difference in the way
in which the hepatic system affects most meds
excessive bleeding ✔✔ what adverse response would you assess for in an older adult taking an
anticoagulant med
age, weight, serum creatinine, and creatinine clearance ✔✔ which factors are used in
calculating GFR using Cockroft-Gault formula
electrolyte imbalance ✔✔ what adverse response would you assess for in an older adult taking
a diuretic med
drug half-life is lengthened ✔✔ physiologic changes that normally occur in the older adult have
what implication for drug response
reduced metabolism ✔✔ in an older adult patient with elevated AST and ALT will experience
what change
10-15% ✔✔ what percentage reduction of total body water occurs in older adults
start low and go slow ✔✔ general practice to reduce chances of drug toxicity in older adults
it decreases with age ✔✔ what is the effect of aging on renal excretion of drugs
, confusion ✔✔ what is one of the first signs of drug toxicity in an older adult
use memory aids such as a pill organizer or alarm ✔✔ an older patient states that they know
the medication is due to be taken before breakfast but that they always forget. What
intervention by the nurse is appropriate
if the patient's heart rhythm was irregular ✔✔ an older adult with hypertension has been
prescribed a diuretic. what assessment finding would prompt the nurse to hold the medication
and contact the health care provider
altered glycemic response ✔✔ a nurse assesses an older patient taking antidiabetic drugs for
what adverse effect
postural hypotension ✔✔ a nurse assesses an older patient taking a drug meant to lower BP for
what adverse effect
computerized order entry ✔✔ what method helps standardize med prescriptions
physician, podiatrist, dentist, PA, NP ✔✔ which health care providers have the training that
allows them to legally prescribe meds for patients
name of patient, drug name, and name of provider ✔✔ while checking a prescription, what
should the nurse specifically check
potential for patient harm is greater ✔✔ what are "high alert" meds
date of drug prescription ✔✔ the nurse verifies which information in the med prescription
before administering
