NUR 257 Unit 4 Chapter 9 Safe Med Use

Multiple Choice

What is the significance of prescription medications for older adults?

• They are the most expensive medications

• They can afford survival or enhance quality of life

• They are not commonly used

• They are only for chronic conditions

Multiple Choice

Glucophage.

• Metformin

• Escitalopram

• Tetracycline

• Levothyroxine

Multiple Select

What are the four main processes involved in pharmacokinetics?

• Absorption

• Distribution

• Metabolism

• Excretion

Multiple Choice

The excretion of cefuroxime happens from _____________ organ

• Lung

• Liver

• Renal

• Faeces

Open Ended

Can you name some examples of Drug-Drug & Drug-Food Interactions?

Multiple Choice

What are the age-related changes that occur in the pharmacokinetics of the older adult?

• Reduced serum albumin level

• Decreased lean body mass

• Increased body fat

• Decreased total body water

Open Ended

What are some drugs affected by hepatic metabolism?

Open Ended

What are some drugs effected by renal clearance?

Multiple Choice

What is the relationship between age and drug response according to the text?

• Older individuals have a more reliable response to drugs

• Younger individuals have a more reliable response to drugs

• The older a person gets, the more likely there will be an altered or unreliable response of the body to the drug

• Age has no effect on drug response

Multiple Choice

What are the three types of drug interactions mentioned in the image?

• Medication–herb/supplement interactions

• Medication–food interactions

• Drug–drug interactions

• All of the above

Open Ended

What are we doing today to help with polypharmacy?

Open Ended

Can you identify some of these interactions?

Multiple Choice

What are the potential effects when two or more medications or foods are taken together?

• Increased effectiveness

• Decreased effectiveness

• Variable effectiveness

• No effect

Multiple Choice

What are the commonly observed adverse reactions in older adults due to medications?

• Drug-induced delirium

• Increased appetite

• Improved cognitive function

• Enhanced physical strength

Multiple Choice

What is the purpose of the Beers' List as mentioned in the image?

• To identify safe medications for older adults

• To identify drugs that carry a higher-than-usual risk when prescribed for older adults

• To promote the use of all medications in long-term care

• To provide a list of medications for children

Multiple Choice

What are the categories of medications included under psychoactive medications?

• Antidepressants

• Antianxiety agents

• Mood stabilizers

• All of the above

Open Ended

What are other alternatives to benzodiazepines? What are the considerations for these alternatives?

Open Ended

What are the drugs of choice for use in older adults

Multiple Choice

What are the potential side effects of SSRIs?

• Nausea

• Dizziness

• Increased appetite

• Insomnia

Multiple Choice

What are the side effects of benzodiazepines?

• Drowsiness

• Nausea

• Headache

• Insomnia

Multiple Choice

What are adverse effects/outcomes of first generation antipsychotics?

• Weight gain

• Extrapyramidal symptoms

• Increased energy

• Improved mood

Multiple Select

What are the common mood stabilizers used to treat bipolar disorder?

• Lamotrigine

• Lithium

• Atypical antipsychotics

• Anticonvulsants

Multiple Choice

What are the potential risks associated with the use of antipsychotics in older adults?

• Increased risk of serious side effects

• Improved mood stabilization

• Reduced risk of cardiac events

• No significant risks

Multiple Choice

What are the responsibilities of nurses regarding medication use in gerontological nursing?

• Assessing medication use

• Monitoring medication effects

• Educating clients about medication

• All of the above

Multiple Choice

Initial dose of Lacosamide is _______mg twice daily

• 100

• 200

• 50

• 300

Multiple Choice

What are the components of a comprehensive medication assessment?

• Brown bag approach

• 24-Hour medication recall

• Medication reconciliation

• All of the above

Multiple Choice

What are the key components of client education?

• Key persons

• Environment

• Timing

• Communication

Multiple Choice

A nurse is implementing an infection control protocol in a healthcare setting. What strategic element should be emphasized to ensure compliance among staff?

• Regular audits and feedback

• Posting signs about infection control

• Providing incentives for compliance

• Conducting mandatory training sessions

Multiple Choice

Which of the following techniques should a medical assistant use to confirm a patient's understanding of insulin administration?

• Observe the patient as she performs a self-demonstration

• Provide the patient with written instructions

• Offer the patient a website to visit for directions

• Repeat the instructions to the patient

Multiple Choice

What are some challenges faced by patients in medication administration?

• Difficulties opening bottles as a result of arthritis

• Use of pill cutters

• Difficulty swallowing medications

• Use of transdermal patch

Multiple Choice

What are the key actions to monitor and evaluate the effectiveness of medications?

• Assess and document changes in physical and functional status

• Promote actions necessary to prevent drugs from becoming toxic

• Measure blood levels when needed

• Determine severity of side effects