Walden University
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| show | A. medication history
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| A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to | show 🗑
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| show | D. “This drug won't cure your disease, but it will help you be able to exercise more and be more comfortable.”
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| show | B. Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker.
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| show | C. Risk for Falls
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| A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequen | show 🗑
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| An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the patient that | show 🗑
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| show | A. Acute Pain, Headache, related to adverse effects of drug therapy
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| A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. | show 🗑
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| show | A. open the capsule and sprinkle the beads in applesauce
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| Before the administration of morphine to a 65-year-old man who has cancer, the initial action of the nurse would be to check the patient's | show 🗑
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| show | B. Integrating the new drug into the patient's existing schedule promotes adherence
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| A nurse is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term? | show 🗑
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| A 90-year-old frail, elderly woman has arrived at the emergency department with a broken hip and in acute respiratory distress. Succinylcholine will be used because of the need for rapid endotracheal intubation, and then the woman will be sent to surgery. | show 🗑
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| show | C. Assess the reasons behind the patient's poor nutritional status
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| show | B. The importance of having required laboratory work performed on time
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| show | D. a decrease in the amount of creatinine to be filtered.
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| show | C. intranasal
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| show | A. a dose adjustment should be made if these symptoms persist
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| show | B. Prostate cancer
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| A nurse is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following? | show 🗑
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| A nurse who is working with an older adult patient who takes eight medications a day wants to promote medication adherence. Which of the following nursing interventions would best promote medication adherence? | show 🗑
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| show | D. Vascular impairment
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| show | B. “Do you take any herbal supplements or alternative medications?”
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| A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension. The nurse would be sure to instruct the patient to | show 🗑
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| Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about | show 🗑
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| show | A. try to distinguish between normal signs of aging and the adverse drug effects
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| show | A. try to distinguish between normal signs of aging and the adverse drug effects.
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| Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. | show 🗑
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| A nurse who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to | show 🗑
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| A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced. Which of the following | show 🗑
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| show | D. hyperkalemia.
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| show | B. Increased risk for falls
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| An 80-year-old patient has been taking lorazepam since his wife died a year ago. He has been staying with his son, but will now move to an assisted living facility. Before admission to the assisted living facility, the patient's physician has determined t | show 🗑
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| A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? | show 🗑
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| A 70-year-old woman is starting on an acidic drug. The nurse is aware that food and nutrient intake can affect drug excretion by changing the urinary pH. About which of the following will the nurse question the patient concerning her diet? | show 🗑
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| A 72-year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 p.m. The nurse finds the patient drowsy and confused at 10 a.m. the next day. The nurse is aware that this behavior is most likely due to | show 🗑
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| A 79-year-old woman has been admitted to the hospital with a gastrointestinal bleed. She is currently receiving a transfusion of packed red blood cells as well as an infusion of pantoprazole (Protonix), a proton-pump inhibitor, to help stop her bleeding. | show 🗑
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| Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what effect on her use of nitroglycerin? | show 🗑
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| show | C. Risk for Injury related to drug interactions of vitamins, herbs, or food intake with prescribed drug therapy
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| show | B. falls.
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