A patient the nurse has recently given medications to complaints of nausea and vomits up the pills, ...

A patient the nurse has recently given medications to complaints of nausea and vomits up the pills, stating that they make her sick. This is an example of:
 
  a. toxicity
  b. dependence
  c. addiction
   d. adverse drug reaction

Question 2

A caregiver asks the nurse for suggestions to assist a cognitively impaired client to feed himself. The nurse should include which of the following instructions?
 
  A) Place the food types in the same arrangement on the plate and relate the location to the face of a clock to assist the client in locating the food on the plate.
  B) Offer the client a variety of favorite foods.
  C) Provide diversional stimuli, such as a television show, so the client can eat without thinking about it.
  D) Serve each food separately with the proper utensil and cue the client to use the utensil to eat that particular food.

Question 3

A large stage 4 pressure ulcer that occur in the nursing home on a resident who was admitted with intact skin one week prior is most likely a sign of:
 
  a. direct physical abuse
  b. an albumin of 4.5
  c. inadequate nursing care
  d. being give the wrong tube feeding

Question 4

The PSDA provides information about which of the following?
 
  a. advance directives
  b. hospice care
  c. funeral arrangements
  d. palliative care

Question 5

The nurse is instructing an older patient about medication management. What information should the nurse include? Standard Text: Select all that apply.
 
  1. Obtain all of your medications from the same pharmacy.
  2. Request that medications be placed in childproof packages and caps.
  3. Develop a method for remembering if medications have been taken, such as moving it to a different place.
  4. Schedule medications at mealtimes or in conjunction with other specific activities unless contraindicated.
  5. Establish a routine for taking medications, such as preparing medication for each day in different containers.

Question 6

Which of the following persons are at highest risk for malnutrition as a result of hypermetabolism?
 
  A) a client who has dysphagia
  B) a client with osteoporosis
  C) a client with chronic obstructive pulmonary disease
  D) a client who is a vegetarian

Question 7

Which statement made by a nurse indicates a misunderstanding regarding the nurse's role in medication management?
 
  1. I am responsible for monitoring potassium level on a patient who is receiving a thiazide diuretic.
  2. I am responsible for documenting whether the therapeutic effect of a medication is being achieved.
  3. I am responsible for teaching a patient how to correctly store, prepare, and self-administer medications.
  4. I am responsible for a medication error if I administered the medication, not if I delegated that responsibility to an unlicensed person.

Question 8

If a person is suffering from dementia, what could have caused this?
 
  a. Creutzfeld-Jacob disease
  b. Lewy body disorder
  c. Alzheimer's disease
  d. All of the above

Question 9

The nurse is preparing an educational program regarding the appropriate use of antipsychotic medications in older patients. What information should the nurse include?
 
  1. Fidgeting is an appropriate indication for the use of antipsychotic medications.
  2. Use of antipsychotic medications would never be considered a chemical restraint.
  3. People prescribed antipsychotic drugs must have efforts to discontinue these drugs.
  4. Impaired memory is an appropriate indication for the use of antipsychotic medications.