NSG-318 Topic 4 Practice Questions an Correct Answers
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Course
NSG 318
Institution
NSG 318
Water, mass In the aging population, there is a decrease in total body ________ and lean body ________.
Mass and function In the aging population, there is a decrease in kidney ________________.
Mass and function In the aging population, there is a decrease in liver ________________.
Equilibrium...
NSG-318 Topic 4 Practice Questions an
Correct Answers
Water, mass ✅In the aging population, there is a decrease in total body ________ and
lean body ________.
Mass and function ✅In the aging population, there is a decrease in kidney
________________.
Mass and function ✅In the aging population, there is a decrease in liver
________________.
Equilibrium ✅In the aging population, there is a decrease in physiologic processes that
maintain _______________.
Aging population ✅In what population is there is an increase in body fat which means
that lipid soluble drugs have an greater volume of distribution, increased drug storage,
reduced elimination, and prolonged period of action?
Absorption ✅GI changes, a decrease in small bowel surface area, slowed gastric
emptying, reduced gastric blood flow, and a decrease in gastric acid production would
affect which step in pharmacokinetics in the geriatric population?
Distribution ✅In the geriatric population a decline in muscle mass and increase in body
fat mean drugs have a greater volume of ___________.
Half-life ✅Hepatic blood flow in an older adult can be decreased by up to 40%, there is
also a reduction in a liver enzyme responsible for the break down of drugs. A decrease
in liver metabolism can effect first pass metabolism and increase a drugs
_______________.
Dosage adjustments ✅Renal excretion decreases with age, this results in a decreased
half-life and elevated drug levels. What changes may need to be made to accommodate
these changes?
Drug toxicity ✅In older people, changes in their kidney and liver function, and
absorption in the GI tract cause drugs to stay in the body longer which increases their
risk of __________________.
, Pharmacodynamics ✅Age-related changes in the central nervous system and
cardiovascular system affect what?
Pharmacodynamics ✅Changes in the number of drug receptors in the elderly affect
what?
Pharmacodynamics ✅Changes in the sensitivity of receptors to drugs affect what?
Pharmacodynamics ✅The body's compensatory response to physiologic changes is
decreased in the elderly this affects what?
Central nervous system side effects ✅In the elderly, there is a reduction in blood flow
to the brain, and the BBB is more permeable. This means that medications can more
easily pass through the BBB. This would increase what kind of side effects in the
elderly?
Central nervous system side effects ✅dizziness, drowsiness and instability are
examples of what type of side effects?
Falls ✅central nervous system side effects such as dizziness, drowsiness and
instability can increase an elderly persons risk of
Polypharmacy ✅The use of many different drugs concurrently in treating a patient,
who often has several health problems.
Risks for polypharmacy ✅being female, advanced age, multiple healthcare providers,
the use of herbal therapies and OTC drugs,
Use of herbal and OTC medications ✅When performing a drug reconciliation it is
important to ask the patient about their:
Adverse drug events ✅-Adverse reactions
-Medication errors
-Therapeutic failures
-Adverse drug withdrawal events
-Overdoses
Nonadherence ✅_____________ may cause underdosing.
Nonadherence ✅___________ may cause overdosing
Drug adherence ✅medication education is extremely important in
___________________.
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