3/27/25, 7:09 NR601 Midterm |
PM
NR601 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Practice questions for this set
Learn 1/7 Study using Learn
weight decreases by 7%, atrophy is normal
Select the correct term
1changes in brain older adult 2the rule of fourths
how long should oral bisphosphonates be
3 4acute exacerbations IPF
used?
Don't know?
Terms in this set (159)
Body composition changes in older adult decreased water weight, increased fat
changes in brain older adult weight decreases by 7%, atrophy is normal
taste/smell changes older adult taste buds reduced by 70%
cardiac function older adult maximum heart rate decreases to around 155, reduced cardiac output during stress
1/
7
, 3/27/25, 7:09 NR601 Midterm |
PM
changes in kidney function older adult renal perfusion decreases by 50%
changes in bone mineral content older decreased by 10-30%
adult
prostate gland older adult increases by 100% in size
men: decreased ability to get an erection, decreased ejaculatory flow
changes sexual function older adult
women: menopause, less lubrication, vaginal atrophy
4 things that cause disability in the elderly: disease, disuse, misuse, and physiologic
the rule of fourths
aging
effects of polypharmacy drug interactions, increased risk of falls, and cognitive impairment
Decreasing complexity of medication regimen will improve adherence.
When selecting a regimen, choose a medication requiring fewer doses per day.
decreasing medication complexity for
Use combination tablets to reduce pill burden.
older adults
When adding a new medication, consider whether any other medication could be
discontinued, or the dose reduced
recommendations for vaccines older adults shingles, flu, pneumococcal, tdap q10 years, hepatitis A/B if at risk
One way to reduce polypharmacy is to try nonpharmacologic therapies first.
prevention of polypharmacy oDiet, exercise, stress management, and cognitive-behavioral therapy.
Be very clear of about drug use instructions and possible side effects.
CAGE tool:
screening for alcohol abuse in older adults
cut down, annoyed when criticized, guilty about drinking, and eye-opener
When smoking cessation interventions are tailored to older adults, their rate of
smoking
smoking cessation older adults cessation equals that of a younger person.
Smoking cessation is most successful when pharmacotherapy is in combination with
counseling
The nicotine patch may cause local skin irritation, gum may cause mouth
soreness or dyspepsia, nasal irritation may occur with nasal spray (or oral
irritation if used as an inhaler).
adverse effects smoking cessation drugs Nicotine may also cause insomnia.
Bupropion may also cause insomnia and dry mouth.
Varenicline can cause nausea, and caution is needed with persons with a
history of depression who are at risk of suicide
The longer the duration of opioid use, the greater risk of developing an opioid use
disorder.
Opioids should never be first-line treatment for chronic pain.
opioid use older adults
Emphasize to the patient that opioids should be taken only as prescribed and
with consistent
follow-up on the part of the clinician as to effectiveness
-As the body ages, there is a decrease in total volume of body water.
-Reduces the volume of distribution of alcohol that produces a higher blood
alcohol effects on older adults concentration with the same amount of intake.
-Alcohol's effects are greater even when an older individual's alcohol intake
remains unchanged
For healthy adults over age 65 years = no more than 1 drink per day (max 7 drinks in 1
recommended alcohol intake for
week)
older adults
and never more than 3 drinks on a given day.
2/
7
PM
NR601 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Practice questions for this set
Learn 1/7 Study using Learn
weight decreases by 7%, atrophy is normal
Select the correct term
1changes in brain older adult 2the rule of fourths
how long should oral bisphosphonates be
3 4acute exacerbations IPF
used?
Don't know?
Terms in this set (159)
Body composition changes in older adult decreased water weight, increased fat
changes in brain older adult weight decreases by 7%, atrophy is normal
taste/smell changes older adult taste buds reduced by 70%
cardiac function older adult maximum heart rate decreases to around 155, reduced cardiac output during stress
1/
7
, 3/27/25, 7:09 NR601 Midterm |
PM
changes in kidney function older adult renal perfusion decreases by 50%
changes in bone mineral content older decreased by 10-30%
adult
prostate gland older adult increases by 100% in size
men: decreased ability to get an erection, decreased ejaculatory flow
changes sexual function older adult
women: menopause, less lubrication, vaginal atrophy
4 things that cause disability in the elderly: disease, disuse, misuse, and physiologic
the rule of fourths
aging
effects of polypharmacy drug interactions, increased risk of falls, and cognitive impairment
Decreasing complexity of medication regimen will improve adherence.
When selecting a regimen, choose a medication requiring fewer doses per day.
decreasing medication complexity for
Use combination tablets to reduce pill burden.
older adults
When adding a new medication, consider whether any other medication could be
discontinued, or the dose reduced
recommendations for vaccines older adults shingles, flu, pneumococcal, tdap q10 years, hepatitis A/B if at risk
One way to reduce polypharmacy is to try nonpharmacologic therapies first.
prevention of polypharmacy oDiet, exercise, stress management, and cognitive-behavioral therapy.
Be very clear of about drug use instructions and possible side effects.
CAGE tool:
screening for alcohol abuse in older adults
cut down, annoyed when criticized, guilty about drinking, and eye-opener
When smoking cessation interventions are tailored to older adults, their rate of
smoking
smoking cessation older adults cessation equals that of a younger person.
Smoking cessation is most successful when pharmacotherapy is in combination with
counseling
The nicotine patch may cause local skin irritation, gum may cause mouth
soreness or dyspepsia, nasal irritation may occur with nasal spray (or oral
irritation if used as an inhaler).
adverse effects smoking cessation drugs Nicotine may also cause insomnia.
Bupropion may also cause insomnia and dry mouth.
Varenicline can cause nausea, and caution is needed with persons with a
history of depression who are at risk of suicide
The longer the duration of opioid use, the greater risk of developing an opioid use
disorder.
Opioids should never be first-line treatment for chronic pain.
opioid use older adults
Emphasize to the patient that opioids should be taken only as prescribed and
with consistent
follow-up on the part of the clinician as to effectiveness
-As the body ages, there is a decrease in total volume of body water.
-Reduces the volume of distribution of alcohol that produces a higher blood
alcohol effects on older adults concentration with the same amount of intake.
-Alcohol's effects are greater even when an older individual's alcohol intake
remains unchanged
For healthy adults over age 65 years = no more than 1 drink per day (max 7 drinks in 1
recommended alcohol intake for
week)
older adults
and never more than 3 drinks on a given day.
2/
7
