ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 3 : Lifespan Considerations Questions
Question 1 of 5
For accurate medication administration to pediatric patients, the nurse must consider which of these factors?
Correct Answer: A
Rationale:
To administer medications to pediatric patients accurately, one must take into account organ maturity, body surface area, age, and weight. Renal output, body temperature, and height alone are not primary considerations for accurate medication administration.
Question 2 of 5
The nurse recognizes that an elderly patient may experience a reduction in the stomach's ability to produce hydrochloric acid. This change may result in which effect?
Correct Answer: D
Rationale: Reduction in the stomach's ability to produce hydrochloric acid is an aging-related change that results in a decrease in gastric acidity and may alter the absorption of some drugs. It does not directly cause delayed gastric emptying, increased gastric acidity, or decreased gastrointestinal motility.
Question 3 of 5
The nurse is administering drugs to neonates and will consider which factor may contribute the most to drug toxicity?
Correct Answer: C
Rationale: A neonate's liver is not fully developed and cannot detoxify many drugs, contributing most to drug toxicity. Immature lungs and small kidneys play lesser roles, and excretion is slow, not fast, due to organ immaturity.
Question 4 of 5
An 83-year-old woman has been given a thiazide diuretic to treat heart failure. She and her caregiver should be told to watch for which problems?
Correct Answer: B
Rationale: Electrolyte imbalance, leg cramps, fatigue, and dehydration are common complications when thiazide diuretics are given to elderly patients. The other options do not describe typical complications associated with thiazide diuretics in the elderly.
Question 5 of 5
An elderly patient with a new diagnosis of hypertension will be receiving a new prescription for an antihypertensive drug. The nurse expects which type of dosing to occur with this drug therapy?
Correct Answer: D
Rationale: As a general rule, dosing for elderly patients should follow the principle of 'start low, and go slow,' meaning start with the lowest possible dose and increase slowly if needed, based on patient response. Dosing is not primarily based on weight or age, and maximum doses are not initially given.