Nokea
The nurse conducts a review course on older adults and medication elimination/excretion. It would be appropriate for the nurse to note which factor may impact drug elimination? Select all that apply.
- A. Diminished glomerular filtration
- B. Decreased hepatic enzyme functioning
- C. Decreased peristalsis
- D. Lower pH of the gastric secretions
- E. Increased acidity of the gastric secretions
- F. Low functioning nephrons
Correct Answer: A,B,F
Rationale: Diminished glomerular filtration, decreased hepatic function, and low-functioning nephrons impair drug elimination in older adults.
You may also like to solve these questions
The client with lymphedema has an increased risk of cellulitis and lymphangitis because of:
- A. Fragility of the capillaries.
- B. Myelosuppression of the bone marrow.
- C. Stagnation of accumulated fluid.
- D. Increased use of the extremity.
Correct Answer: C
Rationale: Stagnation of accumulated fluid in lymphedema creates an environment conducive to bacterial growth, increasing the risk of cellulitis and lymphangitis.
A client informs the nurse that she is using an herbal therapy while receiving chemotherapy. Which of the following actions should the nurse take?
- A. Determine what substances the client is using and make sure that the physician is aware of all therapies the client is using.
- B. Guide the client in the decision-making process to select either Western or alternative medicine.
- C. Encourage the client to seek alternative modalities that do not require the ingestion of substances.
- D. Recommend that the client stop using the alternative medicines immediately.
Correct Answer: A
Rationale: Determining the herbal therapies used and informing the physician ensures safety, as some herbs can interact with chemotherapy drugs, affecting efficacy or toxicity.
The nurse is planning care for an 80-year-old client with a pressure ulcer (see figure). The nurse should do which of the following? Select all that apply.
- A. Elevate the head of the bed to 50 degrees.
- B. Obtain daily cultures.
- C. Cover with protective dressing.
- D. Reposition the client every 2 hours.
- E. Request an alternating-pressure mattress.
Correct Answer: C,D,E
Rationale: Protective dressings, frequent repositioning, and pressure-relieving mattresses promote healing and prevent worsening of pressure ulcers. High head elevation increases shear, and daily cultures are unnecessary unless infection is suspected.
When admitting a client with a fractured extremity, the nurse should first focus the assessment on which of the following?
- A. The area proximal to the fracture.
- B. The actual fracture site.
- C. The area distal to the fracture.
- D. The opposite extremity for baseline comparison.
Correct Answer: C
Rationale: Assessing distal to the fracture checks for neurovascular compromise, a priority to prevent complications.
The nurse is planning to give preoperative instructions to a client who will be undergoing rhinoplasty. Which of the following instructions should be included:
- A. After surgery, nasal packing will be in place for 7 to 10 days.
- B. Normal saline nose drops will need to be administered preoperatively.
- C. The results of the surgery will be immediately obvious postoperatively.
- D. Aspirin-containing medications should not be taken for 2 weeks before surgery.
Correct Answer: D
Rationale: Aspirin can increase bleeding risk, so it should be avoided for 2 weeks before surgery. Nasal packing is typically removed within 1–3 days. Saline drops are not routinely required preoperatively. Surgical results may take weeks to months to be fully apparent due to swelling.