TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
Chapter 07: Geriatric Considerations McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition MULTIPLE CHOICE 1. The nurse is caring for an older adult patient who is receiving multiple medications. When
monitoring this patient for potential drug toxicity, the nurse should review which lab values particularly closely given the patients advanced age? a. Complete blood count and serum glucose levels b. Pancreatic enzymes and urinalysis c. Serum creatinine and liver function tests (LFTs) d. Serum lipids and electrolytes ANS: C
With liver and kidney dysfunction, the efficacy of drugs is generally increased and may cause toxicity due to decreased drug clearance. The nurse should review serum creatinine levels to monitor renal function and LFTs to monitor hepatic function. The other lab tests may be ordered for specific drugs if they affect those body systems. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. An older patient who reports a 2- to 3-year history of upper gastrointestinal (GI) symptoms
will begin taking ranitidine (Zantac) to manage her symptoms. The patient has completed a N health history form. The nurse notes that the patient answered “no” when asked if any medications were being taken. Which action will the nurse take next? a. Ask whether the patient uses over-the-counter (OTC) medications. b. Obtain a careful dietary history for the past two weeks. c. Recommend that the patient take antacid tablets. d. Suggest that the patient add high-potassium foods to the diet. ANS: A
Many patients do not think of OTC products as medications and often do not list them when asked about medication use. A patient who takes ranitidine along with an OTC antacid could be duplicating therapy. A dietary history is important as well but would not be the most important action in this case. The nurse should not recommend antacid tablets or high-potassium foods before gathering additional information. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. To assist an older, confused patient to adhere to a multidrug regimen, the nurse will provide
which recommendation? a. Avoid the use of OTC medications. b. Bring all medications to each clinic visit. c. Review the manufacturer’s information insert about each medication. d. Save money by getting each drug at the pharmacy with the lowest price.
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