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 ["A","C"]
Explanation
Choice A rationale
Paroxetine (Paxil) is an SSRI used for the treatment of panic disorder. It can be taken with or without food. Taking it at bedtime can help manage some side effects like nausea and drowsiness.
Choice B rationale
Combining herbal medication with paroxetine is not recommended without consulting a healthcare provider. Some herbal supplements can interact with paroxetine and cause serious conditions like serotonin syndrome.
Choice C rationale
Weight changes are a possible side effect of paroxetine. Therefore, monitoring for weight changes while taking this medication is important.
Choice D rationale
It’s important to note that it can take several weeks before the patient feels like the medication is helping. This is a normal part of the process and patients should be encouraged to continue taking the medication as prescribed, even if they don’t feel immediate relief.
Correct Answer is D
Explanation
Choice A rationale
Guaifenesin (Mucinex) is an expectorant, which means it helps loosen mucus in your airways. This makes it easier for you to cough up phlegm. So, coughing up phlegm after taking Mucinex does not necessarily mean there is more pathology present.
Choice B rationale
Coughing up phlegm is not typically indicative of an allergic reaction to Mucinex. Allergic reactions would more likely involve symptoms such as rash, itching, swelling, severe dizziness, or trouble breathing.
Choice C rationale
While any new or worsening symptoms should be reported to a healthcare provider, coughing up phlegm after taking Mucinex does not necessarily require further investigation. It is a normal response to the medication, which is designed to help clear mucus from the airways.
Choice D rationale
Guaifenesin (Mucinex) works by thinning and loosening mucus in the airways, clearing congestion, and making breathing easier. Therefore, coughing up phlegm is a normal response to the medication.
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