A nurse is caring for an older adult client. The nurse should recognize that which of the following considerations apply to older adults and pharmacology? (Select all that apply).
Parenteral medications are avoided due to fragility of veins.
Older adults are at risk for drug toxicity due to accumulation in the body.
The elderly population is susceptible to polypharmacy
Medication metabolism tends to be faster in older adults.
Older adults have delayed absorption.
Older adults may require larger doses of medications.
Correct Answer : B,C,E
A) Parenteral medications are avoided due to fragility of veins: While it is true that older adults may have fragile veins, this does not mean that parenteral medications are universally avoided. Parenteral medications are still used based on clinical needs, though careful consideration is given to the condition of the veins.
B) Older adults are at risk for drug toxicity due to accumulation in the body: This is correct. As people age, their liver and kidney functions often decline, leading to decreased metabolism and excretion of drugs. This can result in drug accumulation and an increased risk of toxicity.
C) The elderly population is susceptible to polypharmacy: This is correct. Older adults often take multiple medications for various chronic conditions, increasing the risk of drug interactions, side effects, and complications. Polypharmacy is a common issue in this population.
D) Medication metabolism tends to be faster in older adults: This is incorrect. Medication metabolism generally slows down in older adults due to decreased liver function. Slower metabolism can lead to drug accumulation and increased risk of adverse effects.
E) Older adults have delayed absorption: This is correct. Although the rate of absorption may not be significantly affected, the overall absorption can be altered due to changes in gastrointestinal function and blood flow in older adults.
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Related Questions
Correct Answer is D
Explanation
A. Chemical name:
The chemical name of a drug refers to its molecular structure and is often complex and technical, such as "2-(4-isobutylphenyl)propionic acid" for ibuprofen. This name is used primarily by chemists and is not typically used in clinical settings.
B. Generic name:
The generic name of a drug is its non-proprietary name, which is often simpler than the chemical name and is used universally to identify the drug regardless of the brand. For ibuprofen, the generic name is "ibuprofen." It is distinct from the brand name, which is a trademarked name used by manufacturers.
C. Nonproprietary name:
The term "nonproprietary name" is synonymous with the generic name. It refers to the drug's official, universally accepted name that is not associated with any specific brand. In this case, "ibuprofen" is the nonproprietary or generic name.
D. Brand name:
The brand name, also known as the trade name, is the name given by the manufacturer and is protected by trademark. "Motrin" is the brand name for ibuprofen. It is used in marketing and prescribing to differentiate it from other brands or generic forms of the same medication.
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"D"},"C":{"answers":"A"},"D":{"answers":"B"}}
Explanation
Naloxone is an opioid antagonist and is used to reverse opioid overdoses.
Flumazenil is a benzodiazepine antagonist and can reverse the effects of benzodiazepines.
Glucagon can be used to treat beta-blocker overdose by increasing heart rate and blood pressure.
Acetylcysteine acts as an antidote for acetaminophen toxicity by replenishing glutathione levels to enhance non-toxic metabolism of acetaminophen.
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