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NR 565 MIDTERM EXAM NEWEST 2024 QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+) $19.99   Add to cart
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NR 565 MIDTERM EXAM NEWEST 2024 QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+)
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NR 565 MIDTERM EXAM NEWEST 2024 QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+) An 82 year old male visits the clinic complaining that his pain medications "take forever" to work after he takes his pill. What are possible reasons you can explain to him? Perhaps...

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  • September 9, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NR 565
  • NR 565

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NR 565 MIDTERM EXAM NEWEST 2024

QUESTIONS AND DETAILED CORRECT

ANSWERS INCLUDING RATIONALES (GRADED

A+)

An 82 year old male visits the clinic complaining that his pain

medications "take forever" to work after he takes his pill. What are

possible reasons you can explain to him?



Perhaps we need to increase your dosage.

Sometimes as you get older, absorption may be slower resulting in

a delayed response.

As we get older the gastric acid decreases and may slow

absorption. - ANSWER-B. Sometimes as you get older, absorption

may be slower resulting in a delayed response.

C. As we get older the gastric acid decreases and may slow

absorption.



Distribution of medication can be affected in the elderly in what

,2|Page


ways?



Decreased hormones

Increased body fat

Decreased lean mass

Decreased albumin - ANSWER-B. Increased body fat

C. Decreased lean mass

D. Decreased albumin



When prescribing medications, we must understand that liver

function declines with age due to what cause?



Enlarged liver

Decreased blood flow to liver

Increased activity of the hepatic enzymes - ANSWER-B.

Decreased blood flow to liver



What is the most important cause of Adverse Drug Reactions?

,3|Page


High drug dosages

Lack of monitoring of medications

Decreased renal excretion

Overprescribing/Polypharmacy - ANSWER-C. Decreased renal

excretion



What can a poor metabolism phenotype do to metabolism of

drugs? - ANSWER- Reduced or absent enzyme activity which can

lead to slow processing of meds (low effect) or increased risk of

SEs.



How does poor metabolism affect a high or low therapeutic index? -

ANSWER-Some Rx need to be converted to active form for use ->

low therapeutic effect



Some Rx need to be metabolized for clearance ->risk for OD

BB warning for opioids - ANSWER-Resp arrest



BB warning for Fentanyl - ANSWER-Fatal Resp Depression

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BB warning for Methadone - ANSWER-QT prolongation Fatal

dysrhythmias (Torsades)

Resp Dep



BB warning for Codeine - ANSWER-10% codeine -> morphine in

liver Poss. Death in children

severe toxicity risk in BF infants



BB warning for Hydromorphone and Oxymorphone - ANSWER-

HIGH ABUSE POTENTIAL

Resp dep esp. when used with other sedatives i.e. alcohol



BB warning for Oxycodone - ANSWER-High abuse potential Resp

dep.



What are therapeutic uses for morphine? - ANSWER-Pain,

sedation, euphoria, resp depression, cough suppression,

suppression of GI motility, reduces anxiety

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