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 C
Explanation
Choice A rationale:
The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.
Choice B rationale:
Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.
Choice C rationale:
The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.
Choice D rationale:
The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.
Correct Answer is B
Explanation
Choice A rationale:
Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.
Choice B rationale:
Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.
Choice C rationale:
Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.
Choice D rationale:
Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.
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