Exam 6: Pharmacology and Older Adults

During a home visit, the nurse learns that an older client is taking herbal remedies in addition to prescribed medications. What should the nurse instruct the client about this practice? Select all that apply.

After completing a medication history, the nurse notes that an older client is prescribed 22 different medications and sees five different healthcare providers. What is the nurse most concerned about for this client?

A prescribed medication is not producing the expected therapeutic effect in an older client. What should the nurse do in response to this finding?

Which nursing action indicates that medication reconciliation for an older client is most complete?

The nurse is preparing an educational program about the use of over-the-counter (OTC) medications for residents of an assisted living community. What information should the nurse include in this program? Select all that apply.

Which statement made by a nurse best indicates an understanding about the nurse's role in medication management for the older adult client?

The nurse is instructing an older client on ways to prevent esophageal irritation from taking medication. Which information should the nurse include in this teaching? Select all that apply.

An older client does not take a prescribed diuretic as planned because of the inconvenience of having to urinate frequently, which interrupts scheduled activities. What action should the nurse take with this client?

The nurse is providing a psychotropic medication to an older client. Which findings are most concerning to the nurse? Select all that apply.

An older client has an elevated blood urea nitrogen (BUN) level, but the creatinine clearance is within normal limits. The nurse notes that the client's appetite has been poor the past few days. What should the nurse do about these laboratory findings?

The nurse teaches the client about measures to prevent constipation. What does the nurse teach the client? Select all that apply.

It has been determined that nonpharmacological approaches will be used to help an older client manage pain. What should the nurse explain as the reasons for using these approaches? Select all that apply.

The nurse has completed an educational program for residents of a retirement community regarding unsafe medication practices. Which statement made by a resident best indicates effective teaching?

The nurse is preparing an educational program regarding the appropriate use of antipsychotic medications in older clients. What information should the nurse include?

An older client being treated for pneumonia is given a sedative to sleep. A few hours afterwards, the client has a respiratory rate of 12 and cannot be aroused. What does this assessment finding indicate to the nurse?

An older client has recently been put on high risk for fall precautions after a medication for high blood pressure was started. The client's daughter questions why this precaution was put in place. How should the nurse respond to the daughter?

The home care nurse is reviewing the medications that an older client is currently taking. Which guidelines should the nurse follow when conducting this review? Select all that apply.

The nurse is preparing an educational program regarding adverse drug reactions (ADR). What information should the nurse include? Select all that apply.

An older client who is repeatedly admitted to the hospital tells the nurse it is because of the inability to purchase prescribed medications. What should the nurse respond to the client?

An older client admitted with chest pain is prescribed Restoril 15 mg at bedtime. The usual dosage given to adults is 30 mg. What intervention would the nurse use for this client?