A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her sister lives as well. She is being discharged home after a hospitalization for congestive heart failure with p
a. Language barrier
b. Living alone
c. Large number of medications
d. Ethnic background
e. Religious background
Question 2In order to best assure client safety and affective medication therapy, the nurse suggests that the son who will be a administering his parent's medications via PEG (percutaneous enteral gastrostomy) tube:
a. Ask the pharmacist to provide the medications in liquid form when available
b. Crush all medications and add them to the tube feeding
c. Medications that can not be crushed should be given orally
d. Medications should be administered via the PEG all at once, one time daily
Question 3An 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? The nurse
a. the package inserts from all of the medications 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 medications and administration routine
d. a suggestion that the client's daughter administer the medications
Question 4The nurse's first response when told by a client during an assessment interview that they can't take furosemide (Lasix) is to ask:
a. Is your healthcare provider aware that you are allergic to Lasix?
b. Can you describe what happened when you took Lasix?
c. When was the last time you took Lasix?
d. Have you any question regarding your reaction to Lasix?
Question 5When 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 all ages
c. Older adults may need larger doses of medication to bring about the desired effects
d. Adverse drug reactions occur with similar frequency in older adults as the general population
Question 6When performing the initial assessment on a new client in the geriatric outpatients practice, the most effective method the nurse can implement to elicit an accurate medi-cation assessment is to ask that the client:
a. make a list of all their current medications
b. work with a family member to make a list of their medications
c. bring in all of the medications that they are currently taking
d. allow their previous primary care provider to provide a list of medications
Question 7The Beers list is an effective tool for healthcare 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 8The nurse suspects that a client is experiencing tardive dyskinesia when observing:
a. that the client can't seem to stop moving
b. the client's facial muscles are twisting involuntarily
c. the client not able to get up out of a chair
d. that the client's hand tremors so much that drinking from a cup is difficult
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