A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients.
Which of the following information should the nurse include?
Renal excretion time slows for medication.
Hepatic enzymes process medications more rapidly.
Brain receptors become less sensitive to medications.
Gastric emptying rate increases.
The Correct Answer is A
Choice A rationale:
Renal excretion time slows for medication. As people age, kidney function gradually decreases, which slows the excretion of medications. This can lead to increased levels of the drug in the body, which can increase the risk of side effects.
Choice B rationale:
Hepatic enzymes do not process medications more rapidly in older adults. In fact, liver function also decreases with age, which can slow the metabolism of medications.
Choice C rationale:
Brain receptors do not become less sensitive to medications in older adults. The sensitivity of brain receptors to medications can vary widely and is not necessarily related to age.
Choice D rationale:
Gastric emptying rate does not increase with age. On the contrary, it often slows down, which can affect the absorption of some medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
The gauge and length of needle used for an IM injection are important to document. This information can help track which supplies were used and can be useful for future reference.
Choice B rationale:
While it’s important to check the medication expiration date before administration, it’s not typically documented after administering medication.
Choice C rationale:
The dose of medication administered should always be documented. This helps ensure accurate medical records and allows healthcare providers to track how much of a medication a patient has received.
Choice D rationale:
The site of injection should be documented. This can help prevent complications such as repeated use of the same injection site.
Choice E rationale:
The time of administration should be documented. This helps keep track of when the patient received their medication, which is crucial for medications that need to be given at specific intervals.
Correct Answer is C
Explanation
Choice A rationale:
Increased temperature is not a direct indication of naloxone’s effectiveness. Naloxone works by reversing the effects of opioids, which do not typically include fever.
Choice B rationale:
While naloxone can cause an abrupt withdrawal in opioid-dependent individuals, leading to symptoms such as hypertension, it does not typically decrease blood pressure in opioid overdose cases.
Choice C rationale:
Naloxone works by reversing the life-threatening depression of the central nervous system and respiratory system caused by an opioid overdose. Therefore, an increased respiratory rate after administration would indicate that the medication is effective.
Choice D rationale:
Naloxone reverses the effects of opioids, including pain relief. Therefore, a report of decreased pain would not indicate that the medication is effective.
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