An 81-year-old patient is being discharged from the hospital to home. She is on seven different medications, which are to be taken at four different times during the day. What would be most useful in helping this patient manage her medications?
a. The package inserts from all of the medi-cations for the client to read
b. A pillbox with compartments for each day and each of the doses
c. A written list of all the client's medica-tions and administration routine
d. A suggestion that the client's daughter administer the medications
Question 2An older client prescribed a transdermal morphine patch for severe chronic pain is being educated on the appropriate administration of the medication.
The nurse shows an understanding of essential information regarding this route of drug admin-istration when stating: (Select all that apply.)
a. This is an effective route for delivering small doses of medication over long peri-ods of time.
b. Since you have problems with digestion, this is a good way to take your medica-tion.
c. Please show me how you would apply your patch.
d. Be careful to put the patch only on your chest but change locations with each ap-plication.
e. Be sure to avoid placing the patch on in-jured skin.
Question 3The Beers Criteria is an effective tool for health care professionals prescribing and/or managing the medication therapy of older adults since it identifies medications that for this population:
a. are not typically covered by drug benefit plans.
b. have a higher than usual risk for injury.
c. are likely to be abused.
d. generally cause allergic reactions.
Question 4When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse best ensures an understanding of oral hypoglycemic medications when providing:
a. the package insert and assessing the cli-ent's reading skills.
b. the client with the website address for the American Diabetes Association.
c. oral explanations and sending the client home with a written copy.
d. the information in paragraph form as op-posed to numbered line fashion.
Question 5When performing the initial assessment on a new client in a geriatric outpatients practice, the most effective method the nurse can implement to elicit an accurate medication assessment is to ask that the client:
a. make a list of all her current medications.
b. work with a family member to make a list of her medications.
c. bring in all of the medications that she is currently taking.
d. allow her previous primary care provider to provide a list of medications.
Question 6The nurse suspects that a client is experiencing tardive dyskinesia when observing that:
a. the client can't seem to stop moving.
b. the client's facial muscles are twisting in-voluntarily.
c. the client not able to get up out of a chair.
d. the client's hand tremors so much that drinking from a cup is difficult.
Question 7When discussing pharmacological considerations, a 68-year-old client asks, Why do medications seem to act differently than they did when I was younger? The nurse bases the response on the concept that:
a. age-related changes affect the way drugs are metabolized by older adults.
b. Over-the-counter (OTC) drugs have standardized dosages that are appropriate for all ages.
c. older adults may need larger doses of medication to bring about the desired ef-fects.
d. adverse drug reactions occur with similar frequency in older adults as the general population.
Question 8What factor is an important contribution to polypharmacy in older adults?
a. Inadequate communication among medi-cal care providers
b. Implementation of Medicare Part D pre-scription drug benefit
c. Use of generic medications
d. Increasing popularity of dietary and herbal supplements
Question 9The area in which nurses have the greatest effect on the safe, effective medication therapy of an older client is:
a. educating the client to all aspects of the medication.
b. assessing for adverse reactions to the medication.
c. monitoring overall health of the client as it is affected by the medication.
d. evaluating the outcomes resulting from the medication.
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