A prescribed medication is not producing the expected therapeutic effect in an older patient. What ...

A prescribed medication is not producing the expected therapeutic effect in an older patient. What should the nurse do first in response to this finding?
 
  1. Document that the patient has not been taking the medication.
  2. Discuss changing the medication with the healthcare provider.
  3. Ask if the patient has enough money to buy food and medicine.
  4. Review the patient's current diet to determine food-drug interactions.

Question 2

A night charge nurse working on a medical surgical unit with older adults just realized that she made a serious medication error. What is her best course of action?
 
  a. monitor the patient and report the error to the physician immediately
  b. wait until morning and tell the day charge nurse
  c. do not tell anyone, just watch the patient for side effects
  d. write an incident report and leave it for the nurse manager to read

Question 3

Which of the following older clients is at greatest risk for vitamin D deficiency?
 
  A) the client who does not drink milk
  B) the client who is taking isoniazid (INH) after a positive tuberculin skin test
  C) the client who works outdoors daily and does not wear sunscreen
  D) the client with macrocytic anemia

Question 4

Which of the following is true about depression?
 
  a. it does not affect community dwelling elders
  b. some symptoms can mimic dementia
   c. usually occurs in early stages of dementia
   d. leads to suicide in 50 of older males

Question 5

It has been determined that nonpharmacological approaches will be used to help an older patient manage pain. What should the nurse explain as the reasons for using these approaches? Standard Text: Select all that apply.
 
  1. Nonpharmacological approaches can alleviate the pain.
  2. Nonpharmacological approaches can delay the need for medication.
  3. Nonpharmacological approaches can prevent the need for medication.
  4. Nonpharmacological approaches can complement current medication therapy.
  5. Nonpharmacological approaches do not cost the patient anything to use or implement.

Question 6

In the nursing home setting, who has the ultimate responsibility for the quality of care that is provided to the residents?
 
  a. the assistant director of nursing
  b. the charge nurse on day shift
  c. the UAP
  d. the director of nursing