Physiological AdaptationQuestion 1735 of 2368

Why are smaller doses often recommended for older clients, using the guideline "start low and go slow"?

  1. Increased liver function speeds up drug breakdown and shortens the half-life of drugs
  2. Increased kidney function removes drugs too quickly and leaves the blood levels low
  3. Higher first-pass metabolism lowers free drug levels and reduces the drug's effect
  4. Decreased kidney and liver function can prolong half-life and raise the risk of toxicity
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Correct answer: Decreased kidney and liver function can prolong half-life and raise the risk of toxicity

Kidney and liver function often decrease with age. This reduces metabolism and excretion, so drug levels can become elevated.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Pharmacokinetics & Pharmacodynamics: Older Adult. Licensed under CC BY 4.0.

Practice the topic "Physiological Adaptation"

Questions last reviewed: 18 October 2026