Question 1

Why is self-medication with over-the-counter (OTC) drugs hazardous to the older adult? (Select all that apply.)

Accepted Answer

A)  OTC drugs can increase the effect of a prescribed drug. 
B)  OTC drugs can interfere with the efficacy of a prescribed drug. 
C)  OTC drugs can mask significant symptoms of primary disease. 
D)  OTC drugs are easily obtained. 
E)  OTC drugs can lead to overdose because they are not considered to be "real drugs." 
A)  OTC drugs can increase the effect of a prescribed drug. 
B)  OTC drugs can interfere with the efficacy of a prescribed drug. 
C)  OTC drugs can mask significant symptoms of primary disease. 
D)  OTC drugs are easily obtained. 
E)  OTC drugs can lead to overdose because they are not considered to be "real drugs." A, B, C, E

Question 2

The patient complains that her medications stick in her throat. What would be an appropriate response of the nurse?

Accepted Answer

A)  Suggesting that she take all the pills at one time with a mouthful of water. 
B)  Offering the patient one pill at a time. 
C)  Crushing all the pills and mixing them in the patient's breakfast cereal. 
D)  Offering a sip of water before and after each pill. 
A)  Suggesting that she take all the pills at one time with a mouthful of water. 
B)  Offering the patient one pill at a time. 
C)  Crushing all the pills and mixing them in the patient's breakfast cereal. 
D)  Offering a sip of water before and after each pill. D

Question 3

Arrange the steps for preparing crushed medications to be given by feeding tube in order of priority.

Accepted Answer

A)  Flush the tube to clear feeding. 
B)  Thoroughly crush the medication. 
C)  Administer each medication separately. 
D)  Dissolve each crushed medication in a medicine cup. 
E)  Flush the tube to clear the medication from the tube.
F) Reconnect the feeding tube. 
A)  Flush the tube to clear feeding. 
B)  Thoroughly crush the medication. 
C)  Administer each medication separately. 
D)  Dissolve each crushed medication in a medicine cup. 
E)  Flush the tube to clear the medication from the tube.
F) Reconnect the feeding tube. B, D, A, C, E, F

Question 4

When the medication nurse offers a pill to the older adult patient, the patient asks, "What is this and what is it for?" What is the best response by the nurse?

Accepted Answer

A)  "I'm not at liberty to discuss your medication. You need to talk to your doctor." 
B)  "That's a 'feel good' pill that will make you feel better." 
C)  "It's a cephalosporin that has been ordered to treat your URI." 
D)  "It's an antibiotic for the infection in your urine." 
A)  "I'm not at liberty to discuss your medication. You need to talk to your doctor." 
B)  "That's a 'feel good' pill that will make you feel better." 
C)  "It's a cephalosporin that has been ordered to treat your URI." 
D)  "It's an antibiotic for the infection in your urine."

Question 5

The home health nurse periodically interviews patients relative to their use of _________ because it is the most commonly consumed and abused nonprescription drug used by adults.

Accepted Answer

The answer of The home health nurse periodically interviews patients...

Question 6

What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)

Accepted Answer

A)  Simply not fill a new prescription 
B)  Take less than prescribed to preserve their supply 
C)  Fill all prescriptions at once 
D)  Save old prescription drugs for later use 
E)  Share medications 
A)  Simply not fill a new prescription 
B)  Take less than prescribed to preserve their supply 
C)  Fill all prescriptions at once 
D)  Save old prescription drugs for later use 
E)  Share medications

Question 7

The health care provider has written an order to convert an enteric-coated medication from the pill form to the liquid form. What would be the most appropriate response of the nurse?

Accepted Answer

A)  Transcribe the order and change the medication administration record to show the liquid form. 
B)  Use up the rest of the tablets by crushing them and giving them dissolved in water. 
C)  Order the liquid form from the pharmacy as ordered. 
D)  Inquire if the health care provider wants the dose to be the same as the pill. 
A)  Transcribe the order and change the medication administration record to show the liquid form. 
B)  Use up the rest of the tablets by crushing them and giving them dissolved in water. 
C)  Order the liquid form from the pharmacy as ordered. 
D)  Inquire if the health care provider wants the dose to be the same as the pill.

Question 8

What is the major risk of polypharmacy for the older adult?

Accepted Answer

A)  Ignorance about his or her prescriptions 
B)  Taking over-the-counter preparations 
C)  Being treated by more than one physician 
D)  Taking old prescriptions rather than consulting a health care provider 
A)  Ignorance about his or her prescriptions 
B)  Taking over-the-counter preparations 
C)  Being treated by more than one physician 
D)  Taking old prescriptions rather than consulting a health care provider

Question 9

Why does the nurse frequently assess an older adult who is on a psychotropic drug?

Accepted Answer

A)  Older adults are less active. 
B)  The older adult has fewer cognitive capabilities. 
C)  Brain receptors have become hypersensitive. 
D)  Receptor sites have lower perfusion. 
A)  Older adults are less active. 
B)  The older adult has fewer cognitive capabilities. 
C)  Brain receptors have become hypersensitive. 
D)  Receptor sites have lower perfusion.

Question 10

The nurse crushes a pill and disguises the dose in the mashed potatoes of a resident in a long-term care facility who previously refused the drug. It is then fed to the patient by the nursing assistant. This should be considered an error because it __________. (Select all that apply.)

Accepted Answer

A)  violates the patient's right to refuse medication 
B)  involves delegation of medication administration to the nursing assistant 
C)  increases the amount of time for the drug administration pass 
D)  becomes impossible to confirm the patient received the entire dose 
E)  alters the food 
A)  violates the patient's right to refuse medication 
B)  involves delegation of medication administration to the nursing assistant 
C)  increases the amount of time for the drug administration pass 
D)  becomes impossible to confirm the patient received the entire dose 
E)  alters the food

Question 11

What site would be the best choice for an intramuscular injection to an emaciated 82-year-old patient?

Accepted Answer

A)  Upper outer quadrant of the gluteus maximus 
B)  Gluteal 
C)  Deltoid 
D)  Ventrogluteal 
A)  Upper outer quadrant of the gluteus maximus 
B)  Gluteal 
C)  Deltoid 
D)  Ventrogluteal

Question 12

What provisions should be included in the plan of care for a 70-year-old extended-care facility resident who will be self-administering his medications? (Select all that apply.)

Accepted Answer

A)  Delivery of adequate supply of medication 
B)  Payment for medication 
C)  Locked medication storage at bedside 
D)  Medication administration record 
E)  Assessment of effectiveness of medication 
A)  Delivery of adequate supply of medication 
B)  Payment for medication 
C)  Locked medication storage at bedside 
D)  Medication administration record 
E)  Assessment of effectiveness of medication

Question 13

What information related to drug administration should be included in the plan of care? (Select all that apply.)

Accepted Answer

A)  Schedule for drawing blood values 
B)  Patient's need for crushing medication 
C)  Patient's preference as to the use of medium in which to give crushed medicines 
D)  Schedule of medication and dose times 
E)  Parameters of pulse or blood pressure, if significant to administration 
A)  Schedule for drawing blood values 
B)  Patient's need for crushing medication 
C)  Patient's preference as to the use of medium in which to give crushed medicines 
D)  Schedule of medication and dose times 
E)  Parameters of pulse or blood pressure, if significant to administration

Question 14

What is a correct method of administering a transdermal medication patch?

Accepted Answer

A)  Apply the patch at the same site every day and carry out documentation. 
B)  Fold and dispose of the used patch in the sharps container. 
C)  Warm the patch in his or her hands before application. 
D)  Cover the patch with tape to prevent dislodgement. 
A)  Apply the patch at the same site every day and carry out documentation. 
B)  Fold and dispose of the used patch in the sharps container. 
C)  Warm the patch in his or her hands before application. 
D)  Cover the patch with tape to prevent dislodgement.

Question 15

What is the most reliable method of patient identification for administration of medications?

Accepted Answer

A)  A photograph of the patient 
B)  An identification bracelet 
C)  Asking the patient to repeat his or her name 
D)  Use of the patient's room number 
A)  A photograph of the patient 
B)  An identification bracelet 
C)  Asking the patient to repeat his or her name 
D)  Use of the patient's room number

Question 16

An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?

Accepted Answer

A)  Tachycardia 
B)  Confusion 
C)  Agitation 
D)  Hypertension 
A)  Tachycardia 
B)  Confusion 
C)  Agitation 
D)  Hypertension

Question 17

The primary organ of drug metabolism is the __________.

Accepted Answer

The answer of The primary organ of drug metabolism is...

Question 18

What factors increase the risk of medication-related problems in the older adult? (Select all that apply.)

Accepted Answer

A)  Drug-testing methodology 
B)  Age-related changes 
C)  Polypharmacy 
D)  Cognitive and sensory changes 
E)  Lack of adequate medical follow-up 
A)  Drug-testing methodology 
B)  Age-related changes 
C)  Polypharmacy 
D)  Cognitive and sensory changes 
E)  Lack of adequate medical follow-up

Question 19

What oral medication can be safely crushed?

Accepted Answer

A)  Plain antihypertensive medication tablet 
B)  Sublingual tablet of nitroglycerin 
C)  Timed-release capsule for gastric reflux 
D)  Enteric-coated aspirin 
A)  Plain antihypertensive medication tablet 
B)  Sublingual tablet of nitroglycerin 
C)  Timed-release capsule for gastric reflux 
D)  Enteric-coated aspirin

Question 20

When the 80-year-old female patient refuses to take a medication because it burns her stomach, what action should be taken by the nurse?

Accepted Answer

A)  Crush the pill and mix it with the dessert on her meal tray. 
B)  Insist that she take it "for her own good." 
C)  Circle and initial the dose time to show non-administration. 
D)  Document the reason for refusal and report the refusal to the charge nurse. 
A)  Crush the pill and mix it with the dessert on her meal tray. 
B)  Insist that she take it "for her own good." 
C)  Circle and initial the dose time to show non-administration. 
D)  Document the reason for refusal and report the refusal to the charge nurse.

Why is self-medication with over-the-counter (OTC) drugs hazardous to the older adult? (Select all that apply.)

The patient complains that her medications stick in her throat. What would be an appropriate response of the nurse?

Arrange the steps for preparing crushed medications to be given by feeding tube in order of priority.

When the medication nurse offers a pill to the older adult patient, the patient asks, "What is this and what is it for?" What is the best response by the nurse?

The home health nurse periodically interviews patients relative to their use of _________ because it is the most commonly consumed and abused nonprescription drug used by adults.

What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)

The health care provider has written an order to convert an enteric-coated medication from the pill form to the liquid form. What would be the most appropriate response of the nurse?

What is the major risk of polypharmacy for the older adult?

Why does the nurse frequently assess an older adult who is on a psychotropic drug?

The nurse crushes a pill and disguises the dose in the mashed potatoes of a resident in a long-term care facility who previously refused the drug. It is then fed to the patient by the nursing assistant. This should be considered an error because it __________. (Select all that apply.)

What site would be the best choice for an intramuscular injection to an emaciated 82-year-old patient?

What provisions should be included in the plan of care for a 70-year-old extended-care facility resident who will be self-administering his medications? (Select all that apply.)

What information related to drug administration should be included in the plan of care? (Select all that apply.)

What is a correct method of administering a transdermal medication patch?

What is the most reliable method of patient identification for administration of medications?

An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?

The primary organ of drug metabolism is the __________.

What factors increase the risk of medication-related problems in the older adult? (Select all that apply.)

What oral medication can be safely crushed?

When the 80-year-old female patient refuses to take a medication because it burns her stomach, what action should be taken by the nurse?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters

Exam 7: Medications and Older Adults

Why is self-medication with over-the-counter (OTC) drugs hazardous to the older adult? (Select all that apply.)

The patient complains that her medications stick in her throat. What would be an appropriate response of the nurse?

Arrange the steps for preparing crushed medications to be given by feeding tube in order of priority.

When the medication nurse offers a pill to the older adult patient, the patient asks, "What is this and what is it for?" What is the best response by the nurse?

The home health nurse periodically interviews patients relative to their use of _________ because it is the most commonly consumed and abused nonprescription drug used by adults.

What measures may the older adult take to reduce the high cost of prescription drugs? (Select all that apply.)

The health care provider has written an order to convert an enteric-coated medication from the pill form to the liquid form. What would be the most appropriate response of the nurse?

What is the major risk of polypharmacy for the older adult?

Why does the nurse frequently assess an older adult who is on a psychotropic drug?

The nurse crushes a pill and disguises the dose in the mashed potatoes of a resident in a long-term care facility who previously refused the drug. It is then fed to the patient by the nursing assistant. This should be considered an error because it __________. (Select all that apply.)

What site would be the best choice for an intramuscular injection to an emaciated 82-year-old patient?

What provisions should be included in the plan of care for a 70-year-old extended-care facility resident who will be self-administering his medications? (Select all that apply.)

What information related to drug administration should be included in the plan of care? (Select all that apply.)

What is a correct method of administering a transdermal medication patch?

What is the most reliable method of patient identification for administration of medications?

An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?

The primary organ of drug metabolism is the __________.

What factors increase the risk of medication-related problems in the older adult? (Select all that apply.)

What oral medication can be safely crushed?

When the 80-year-old female patient refuses to take a medication because it burns her stomach, what action should be taken by the nurse?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters