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AANP Adult-Gerontology Primary Care (Adult-Gerontology) Practice Tests & Test Prep by Exam Edge


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AANP Adult-Gerontology Primary Care Nurse Practitioner Sample Test

1 of 5

What type of medications causes urinary retention, overflow, and fecal impaction in the elderly?

Correct Answer:
opioids


the question pertains to the type of medications that can lead to urinary retention, overflow, and fecal impaction, particularly in the elderly. the correct answer is opioids. opioids are a class of drugs commonly prescribed for pain management but have several side effects that can significantly affect the gastrointestinal and urinary systems.

opioids function by binding to opioid receptors in the brain, spinal cord, and other areas of the body, helping to reduce the intensity of pain signals and feelings of pain. however, these drugs also affect the smooth muscles of the gastrointestinal tract and urinary system. in the gastrointestinal tract, opioids increase the tone while decreasing the motility of the smooth muscle. this action leads to a slowing down of the digestive process, often resulting in constipation and, in severe cases, fecal impaction. fecal impaction is a serious complication where hardened stool cannot be expelled naturally, leading to a blockage in the large intestine.

in the urinary system, opioids can increase the tone of the bladder sphincter and decrease the sensation of bladder fullness. this dual action often results in urinary retention, where the bladder does not empty completely, and overflow, which is involuntary urine leakage from a bladder that is typically full. these urinary effects are particularly problematic in the elderly, who may already have underlying issues with bladder control.

in contrast, other medication types listed as options affect the body differently: - sedatives primarily cause alterations in sensorium (awareness) and can lead to reduced mobility, but they do not directly cause urinary or bowel retention. - alpha-adrenergic antagonists typically relax the internal urethral sphincter, potentially leading to issues like incontinence, rather than retention. - diuretics increase urine volume and frequency of voiding, which can lead to dehydration if not monitored, but do not typically cause retention or overflow incontinence.

understanding these distinctions is crucial in the management of elderly patients, as the selection of appropriate medication must consider potential side effects that could exacerbate existing conditions or lead to new health complications. therefore, when opioids are prescribed, it is essential to also consider preventive measures against constipation and urinary retention, such as increased fluid intake, dietary adjustments, and regular monitoring of bowel and bladder function.

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  • 35 Online Practice Exams: With Exam Edge, you'll have access to 35 practice tests, each with 135 questions, to help you thoroughly prepare for your AANP Adult-Gerontology Primary Care (Adult-Gerontology) exam.
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Exam Edge practice tests are a valuable tool for helping you prepare for the American Association of Nurse Practitioners (Adult-Gerontology) certification exam. The practice tests provide a realistic simulation of the actual exam, allowing you to become familiar with the format, style, and types of questions you will encounter on the actual test. Certification exams don't just measure what you know -- they are also a test of how well you perform under pressure. The right type of test preparation helps you familiarize yourself not only with the material you're being tested on, but also the format of the test, so you feel less anxiety on test day.

AANP Adult-Gerontology Primary Care Nurse Practitioner Aliases Test Name

Here is a list of alternative names used for this exam.

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