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5 Written questions

5 Matching questions

  1. Self-Medication and Older Adults
    In an Institutional setting
  2. Table 7-2
  3. Cognitive Changes
  4. Assessment
  5. Geropharmacology
  1. a pg. 121
    Aspirin-bleeding
    Lasixs-dehydration
    Digoxin-bottom out; bradycardia
  2. b Study of how older adults respond to medication is a new but growing area.
    The methodology used to test drugs and to establish therapeutic dosages does not take into account the unique characteristics of older adults.
    Because older adults normally have had some changes in body function and are more likely to suffer from at least one disease process, they are not physiologically the same as younger adults.
  3. c Lack of literacy skills needed to read labels an directions
    Inability to understand and comply w/directions
    Inability to make correct judgments about medications
    May not recognize that they have to take medication
  4. d 1. Delivery of adequate amounts of medication
    2. Safe storage of medications that will be kept at bedside
    3. Record-keeping of meds. taken
    4. Follow-up assessments of med effectiveness or side effects.
    Under OBRA legislation, residents of care facilities s/have option of self-medication if they are capable of doing so safely.
    Physician's order stating self-medication is permitted is usually required.
  5. e Nurses must be sure to assess older residents thoroughly before administering any medications.
    After admin., nurses s/monitor older adults continually to determine whether med is having desired effect.
    Residents s/also be observed for any ontoward effects or significant changes in medical condition or behavior of older person.
    Nurses s/be particularly watchful for any signs of overdose or toxicity.

5 Multiple choice questions

  1. Drug-testing methodology
    Physiologic changes related to aging
    Use of multiple medications
    Cognitive and sensory changes
    Knowledge deficits
    Financial concerns
  2. The most commonly consumed nonprescription drug used by adults.
    Most older adults do not think of alcohol as a drug, so they do not think about it when taking meds.
    Alcoholic beveragess can cause adverse reactions when taken in conjunction w/prescription and OTC drugs.
  3. Practice is common and persits because many older adults are unaware of dangers
    All people must be aware that it is not safe to take a med. prescribed for someone else.
  4. Info to Include on Med Teaching Sheets. box 7-8 128

    Older adults and their families or significant others s/be given complete info about the prescribed meds and the proper method for taking them.
  5. Right to know what medication they are receiving and why they are receiving it
    Right to refuse to take medication
    Right to privacy during injections or any other such procedures
    Use of psychotropic drugs as chemical restraints presents a risk to rights of older adults

5 True/False questions

  1. Safe Drug Admin.Can alter aging perons's ability to perform normal functions, can result in behavior changes, and can be life-threatening.
    Adverse reaction to meds common in older adults.

          

  2. PolypharmacyStudy of how older adults respond to medication is a new but growing area.
    The methodology used to test drugs and to establish therapeutic dosages does not take into account the unique characteristics of older adults.
    Because older adults normally have had some changes in body function and are more likely to suffer from at least one disease process, they are not physiologically the same as younger adults.

          

  3. Financial Factors/Saving MoneyOlder adults living on limited incomes may fail to take their medications or may make changes in the amount or frequency to conserve their supply.
    Many frugal older adults save medications that were prescribed in the past, even if the drugs are no longer part of their therapy.
    Often reluctant to discard costly medications, holding on to them "just in case" they are needed again.

          

  4. Nursing Intervention and PrecautionsCould include use of safety devices, call signals, behavior monitoring, or any other specific precaution related to medications.
    Care plan s/indicate when it is necessary to check vital signs, monitor lab values, or make any other special observations.
    All parameters specified by physician s/be readily identified in care plan.

          

  5. Sensory ChangesLack of literacy skills needed to read labels an directions
    Inability to understand and comply w/directions
    Inability to make correct judgments about medications
    May not recognize that they have to take medication

          

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