A patient reports waking up with frequent headaches and sore throat. What question by the nurse is most appropriate?
a. Does acetaminophen (Tylenol) provide relief?
b. Does your partner say you snore at night?
c. Do you drink enough water during the day?
d. Do you ever wake up with night sweats?
Question 2An older adult patient has been prescribed an opioid to manage chronic pain resulting from a shoulder injury. To eliminate a common barrier to opioid drug compliance, the nurse
a. encourages the patient to use the opioid only as prescribed.
b. educates the patient about the appropriate management of constipation.
c. assures the patient that dizziness will de-crease as therapeutic levels are reached.
d. suggests the patient take the medication with meals or a snack.
Question 3The nurse is preparing an older widowed patient with several chronic illnesses for discharge to home. The nurse addresses the primary nursing outcome for this patient when
a. assuring the patient that social services will arrange for help with medical ex-penses.
b. arranging for in-home assistance in areas of activities of daily living (ADLs) and nursing care as needed.
c. educating the patient regarding the safety risks caused by these conditions.
d. identifying barriers to ensure adherence to the prescribed drug therapies.
Question 4The nurse assesses which patient as being at the highest risk for poisoning related to mixing garden chemicals?
a. The patient who has Parkinson disease with hand tremors
b. The patient who has low vision or uses magnifying glasses
c. The patient who has hearing impairment or wears hearing aid
d. The patient who has osteoarthritis or using a wheeled walker
Question 5The nurse caring for older patients would prepare to administer which medication as a short-term sleep aid?
a. Diazepam (Valium)
b. Diphenhydramine (Benadryl)
c. Chloral hydrate (Somnote)
d. The nurse would try other measures first
Question 6The nurse caring for a cognitively impaired older adult admitted to an acute care facility best minimizes this particular patient's risk for developing a nosocomial infection by
a. proper hand washing after each patient contact.
b. admitting the patient to a private room.
c. assigning staff to assist the patient with eating meals.
d. screening visitors to minimize contract with pathogens.
Question 7The nurse explains to the student the benefits of home health care. Which are benefits typically associated with this care? (Select all that apply.)
a. Less exposure to iatrogenic risks
b. Less chance of becoming confused
c. Better management of chronic conditions
d. Better reimbursement from Medicare
e. Patient remains in control of environment
Question 8An older patient asks why he needs a multivitamin supplement. The patient has always been healthy, has excellent nutrition, and has never needed vitamins. What explanation by the nurse is best?
a. Older people tend to eat fewer calories, so it's harder to get nutrients.
b. You need to have extra nutritional re-serves in case of sudden illness.
c. It's recommended in all the nutritional guidelines for older adults.
d. Now that you are older, your good nutri-tional habits are not enough.
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