NSG318 TOPIC 4, NSG 318 EXAM 2- DRUG CARDS QUESTIONS AND
CORRECT DETAILED ANSWERS LATEST DOWNLOAD 2024/2025 BEST
SOLUTION RATED A+ FOR SUCCESS
What are the risk factors of polypharmacy? - CORRECT ANSWERS female, advanced
age, multiple health care providers, use of OTC to herbals, multiple chronic diseases
Pharmacotherapy - CORRECT ANSWERS the application of drugs for the purpose of
disease prevention and treatment of suffering
What is the Beers criteria? - CORRECT ANSWERS lists potentially inappropriate drugs
that lead to adverse effects in the elderly
-renal dosing of drugs
-drug-drug interactions
-provides safety info
What are the 5 adverse drug events? - CORRECT ANSWERS adverse drug reactions
medication errors
therapeutic failures
adverse drug withdrawal events
overdoses
adherence - CORRECT ANSWERS ability of a patient to adhere/comply to a medication
regimen
What can cause medical nonadherence? - CORRECT ANSWERS patient not
understanding the drug regimen
cognitive/physical/financial difficulties
nonadherence can cause under or over dosing
What are key points in health teaching for an older adult? - CORRECT ANSWERS have
the patients senses be as sharp as possible
speak in tones patient can hear
face patient when speaking
respect
large print and bright colors on teaching aids
,NSG318 TOPIC 4, NSG 318 EXAM 2- DRUG CARDS QUESTIONS AND
CORRECT DETAILED ANSWERS LATEST DOWNLOAD 2024/2025 BEST
SOLUTION RATED A+ FOR SUCCESS
review all drugs at each visit (drug reconciliation)
Vial of life
simple dosing schedule
encourage patient to report if the drug is not improving condition
memory aids
drug reconciliation - CORRECT ANSWERS The process of identifying the most accurate
list of all medications a patient is taking
vial of life - CORRECT ANSWERS medical information for emergency personnel to use
in the provision of care (document who to contact and patient wishes)
What are some items that the nurse should ASSESS related to an elderly client? -
CORRECT ANSWERS sensory and cognitive barriers
vitals, labs, weight, allergies
drug reconciliation
does patient need help with costs or transportation
does patient live alone
side or adverse effects?
What is included in the nursing DIAGNOSIS of an elderly client? - CORRECT ANSWERS
health maintenance
therapeutic regimen management
knowledge: teach the patient about the new medication
What is included in the PLANNING/ what is your goal as the nurse for an elderly client
who is prescribed a medication? - CORRECT ANSWERS develop a drug regimen that is
congruent w health goals and fits well with the patient lifestyle
list resources the patient can use for support
have them teach the regimen back to you
What nursing INTERVENTIONS/IMPLEMENTATION would help you attain your goals
for your patient? - CORRECT ANSWERS monitor labs
, NSG318 TOPIC 4, NSG 318 EXAM 2- DRUG CARDS QUESTIONS AND
CORRECT DETAILED ANSWERS LATEST DOWNLOAD 2024/2025 BEST
SOLUTION RATED A+ FOR SUCCESS
check for side or adverse effects
check for changes in behavior
tell them to inform the nurse about any OTC or CAMs
What are the physiologic changes of a geriatric patient? - CORRECT ANSWERS
reduction in total body water and lean body mass
increase in body fat
reduction in kidney and liver mass and function
reduction in process that maintains equilibrium
What affects absorption in a geriatric patient? - CORRECT ANSWERS GI changes
decrease in bowel surface area
slowed gastric emptying
decrease gastric blood flow
decrease swallowing ability
decreased nutrition
What affects distribution in geriatric patients? - CORRECT ANSWERS decrease in
muscle mass an increase in fat in patients so LIPID SOLUBLE DRUGS HAVE INCREASED
DISTRIBUTION AND DECREASED ELIMINATION
decrease in albumin so increase in free drugs
increase in therapeutic effects as well as drug toxicity
What affects metabolism in geriatric patients? - CORRECT ANSWERS decreased hepatic
blood flow
deceased first pass metabolism
increased half life
What affects excretion in geriatric patients? - CORRECT ANSWERS decreased renal
excretion resulting in prolonged half life and elevated drug levels
What affects the pharmacodynamics in geriatric patients? - CORRECT ANSWERS age
related changes in CNS and cardiovascular system (drugs can more easily pass the BBB)
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