NURS 101 Chapter 07: Medications and Older Adults Williams: Basic Geriatric Nursing, 7th Edition

MULTIPLE CHOICE 1. Why is drug testing done by pharmaceutical companies not always appropriate for the older adult? a. The testing is not done long enough. b. The testing does not require adequate follow-up. c. The testing is not well regulated by the U.S. Food and Drug Administration. d. The testing is usually conducted on healthy young persons. ANS: D 2. What is a cause for increased rate of drug absorption in an older patient? a. Change of the chemical composition of the drug b. Increased gastric pH c. Decreased strength of the drug d. Decreased gastric motility ANS: D 3. What age-related changes in the stomach can cause increased drug absorption and possibly drug toxicity? a. Decreased gastric motility b. Gastric reflux disease c. Inability of gastric cells to transport the drug d. Decreased peristalsis ANS: A 4. What should an older adult be encouraged to implement in order to prevent lithium toxicity? a. Increase fluid intake to 3500 mL daily. b. Have the patient ambulate for 10 minutes after the drug is administered. c. Prohibit citrus fruit in the diet. d. Administer a prescribed stool softener to ensure a daily bowel movement. ANS: A 5. An older adult is taking diazepam several times a day. What does the nurse specifically monitor for? a. Tachycardia b. Confusion c. Agitation d. Hypertension ANS: B