GERO (VNSG 1126) CH. 7 _Medications and Older Adults_ NCLEX-STYLE QUESTIONS fully solved
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Course
Senior Practicum
Institution
Senior Practicum
Following an appointment with the primary care provider, the nurse is teaching an independent living older adult about a newly prescribed medications. Which factor is most likely to interfere with the effectiveness of this process?
A) The patient wears a hearing aid
B) The patient has a history...
GERO (VNSG 1126) CH. 7 "Medications
and Older Adults" NCLEX-STYLE
QUESTIONS fully solved
Following an appointment with the primary care provider, the nurse is teaching
an independent living older adult about a newly prescribed medications. Which
factor is most likely to interfere with the effectiveness of this process?
A) The patient wears a hearing aid
B) The patient has a history of hypothyroidism
C) The nurse provided written handouts
D) The nurse is in a hurry - ANSWER- D) The nurse is in a hurry
Older adults and their families or significant others should be given complete
information about the prescribed medications and the proper method for taking
them. If possible, nurses should select a time when the older adult's anxiety level
is low, because the individual will be more likely to remember the important
points when calm. If the directions are complex, extra time may be necessary to
ensure that they are understood completely. Commonly, older persons fail to ask
questions because they are afraid of being judged as ignorant or bothersome. If
the nurse seems hurried, the older person may not feel comfortable asking
necessary questions.
REF: Page 144
What is an example of a medication that can be crushed?
A) A potassium tablet
B) Enteric-coated aspirin
C) Sublingual nitroglycerin
D) A calcium tablet - ANSWER- D) A calcium tablet
If a liquid form of medication is not available, the tablet or capsule may have to be
crushed or broken to facilitate swallowing. Not all medications can be crushed or
, broken because these activities can alter the action of the drug. A calcium tablet
may be crushed. Sustained-release capsules, enteric-coated aspirin, and
sublingual nitroglycerine are examples of medications that should not be crushed
or chewed.
REF: Page 140
You are administering medication through a transdermal patch. What are some
precautions? (Select all that apply)
A) Remove all old patches before applying a new patch.
B) Use the same location each time for consistent absorption
C) Cleanse the skin after removing an old patch
D) Dispose old patches in the toilet
E) Verify the dosage strength of the patch.
F) Wear gloves
G) Tape over the patch to keep it secure - ANSWER- A) Remove all old patches
before applying a new patch.
C) Cleanse the skin after removing an old patch
E) Verify the dosage strength of the patch.
F) Wear gloves
Precautions when using transdermal patches include removal of all old patches
and cleansing of the skin before applying a new one, verification of the dosage
strength of the patch, and handling the patch so that the skin does not come in
contact with the medicated portion (wearing gloves is recommended to avoid
touching the medicated surface). Tape should never be used to secure a patch.
REF: Page 142
A resident in a long-term care facility has an order for digoxin (Lanoxin) 0.25 mg
every morning in tablet form. If the nurse assesses that this resident has been
having difficulty swallowing, what should the nurse do?
A) Administer the digoxin (Lanoxin) in liquid form
B) Crush the digoxin (Lanoxin) for administration
C) withhold the digoxin (Lanoxin) and document
D) Discuss the possibility of an order change to liquid form with the primary care
provider. - ANSWER- D) Discuss the possibility of an order change to liquid form
with the primary care provider.
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