An older adult who weighs 68 kg requires an opioid analgesic after hip replacement sur-gery. Which medication and dosage is suitable for this older adult?
a. Morphine sulfate 2.5 mg intravenously (IV) every 2 hours PRN
b. Morphine sulfate 5 mg subcutaneously every 2 hours PRN
c. Oxycodone (Oxy-Contin) 20 mg by mouth every 4 hours PRN
d. Oxycodone (Oxy-Contin) 0.5 mg by mouth every 4 hours PRN
Question 2The nurse plans care for an older male adult who has Medicare, lives on Social Security and a small pension, and has type 2 diabetes mellitus.
Which aspect(s) of this man should the nurse integrate into a positive approach to his health and well-being? a. Pays for some diabetic supplies
b. Enjoys regular physical activity
c. Practices effective glucose control
d. Lives alone in a high-rise apartment
e. Lacks low-cost, reliable transportation
f. Attends weekly dinner club for diabetics
Question 3The nurse can place an older adult into one of four patient rooms. Which is the most suitable room for an older adult?
a. Brightly lit, blue room with cozy throw rugs
b. Room with orange carpeting and soft lighting
c. Brightly lit, blue room with waxed vinyl floors
d. Room for television and children's play-time
Question 4Which are major factors influencing the experience of aging?
a. Health, history, and sex
b. Self-care needs and culture
c. Self-fulfillment and self-esteem
d. Society, culture, and marital status
Question 5Which one of the following is a true statement about mobility and safety for older adults?
a. Use of restraints on older patients helps prevent injuries from falls.
b. Falls that do not cause physical injury are not significant.
c. The get-up-and-go test provides a measure of a patient's energy and initiative.
d. Lowering the bed and fluorescent tapes are interventions to increase safety.
Question 6The nurse plans activities for female elders born between 1920 and 1930 and who reside in an assisted-living facility. Which is the best intervention for the nurse to implement?
a. Have them bake cookies twice a week.
b. Conduct interviews for specific interests.
c. Arrange dog and cat visits from volunteers.
d. Take them to the library for guest speakers.
Question 7An older adult who has an albumin level of 2.5 g/dl takes aspirin and phenytoin (Dilantin) by mouth daily. Which adverse effect of these medications does the nurse expect because of the older adult's nutritional status?
a. Depressed mood
b. Clay-colored stools
c. Increased heart rate
d. Gingival hyperplasia
Question 8Which is not on the list of drugs considered unsuitable for the older adult?
a. Indomethacin (Indocin)
b. Reserpine (Reserpine)
c. Chlorpheniramine (Chlor-Trimeton)
d. Venlafaxine (Effexor)
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