Why are antianxiety medications used cautiously in older adults?
The drug is not distributed as well due to poor circulation.
The liver metabolizes the drug faster, making it ineffective.
There is an inability to absorb the drugs due to decreased acid production.
There is reduced elimination, leading to a buildup in the circulation.
The Correct Answer is D
Choice A rationale
While it’s true that poor circulation can affect drug distribution in older adults, this is not the primary reason antianxiety medications are used cautiously in this population.
Choice B rationale
While the liver’s ability to metabolize drugs can decrease with age, leading to increased drug levels in the body, this is not the primary reason antianxiety medications are used cautiously in older adults.
Choice C rationale
Decreased acid production can affect the absorption of certain drugs, but this is not the primary reason antianxiety medications are used cautiously in older adults.
Choice D rationale
Reduced elimination of drugs is a key concern in older adults. This can lead to a buildup of drugs in the body, increasing the risk of side effects. This is particularly true for antianxiety medications, which can cause side effects such as dizziness, confusion, and falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While some medications are best taken on an empty stomach, there is no specific requirement for buspirone to be taken on an empty stomach.
Choice B rationale
Buspirone does not have immediate effects. It may take several weeks to feel the full effects of this medication.
Choice C rationale
Buspirone has a low risk for dependency, which is an important point to include when educating a client about this medication.
Choice D rationale
Buspirone should not be taken on an as-needed basis for anxiety. It is intended for regular use to manage symptoms of anxiety.
Correct Answer is B
Explanation
Choice A rationale
While diabetes is a serious condition, it is not specifically contraindicated with the use of decongestants. However, as with any medication, it should be used with caution in individuals with diabetes, and any changes in blood glucose levels should be monitored.
Choice B rationale
Decongestants should be used with caution in individuals with hypertension. Decongestants work by constricting blood vessels to reduce swelling and congestion. This constriction can also affect blood vessels throughout the body, potentially raising blood pressure.
Choice C rationale
Allergic rhinitis is actually one of the conditions that decongestants are commonly used to treat. They work by reducing the swelling in the nasal passages, relieving the symptoms of congestion.
Choice D rationale
Hyperthyroidism is a condition that can be exacerbated by the use of decongestants. The increased metabolic rate associated with hyperthyroidism can intensify the stimulant effects of decongestants, potentially leading to increased heart rate and blood pressure.
Choice E rationale
Heart disease is another condition where caution is needed when using decongestants. The vasoconstrictive action of decongestants can increase the workload of the heart, potentially exacerbating symptoms in individuals with heart disease.
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