NURS MISC PrepU Safe Medication Use,Questions and Answers and Explanation,100% CORRECT

NURS MISC PrepU Safe Medication Use,Questions and Answers and Explanation Question 1 See full question 24sn The healthcare provider has prescribed an antacid for an older adult client. What teaching should the nurse pr ...

NURS MISC PrepU Safe Medication Use,Questions and Answers and Explanation Question 1 See full question 24sn The healthcare provider has prescribed an antacid for an older adult client. What teaching should the nurse provinde about taking this medication? You Selected: ● Avoid taking other medications within two hours. Correct response: ● Avoid taking other medications within two hours. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 126. Safe Medication Use - Page 126 Add a Note Question 2 See full question 21s Which of the following are risk factors contributing to the unsafe use of medications by older adults? You Selected: ● Illiteracy ● Muliple medication use ● Hearing deficits Correct response: ● Muliple medication use ● Limited finances ● Illiteracy ● Hearing deficits Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, pp. 122-123 & 140. Safe Medication Use - Page 122-123 & 140 Add a Note Question 3 See full question 23s An older client is scheduled to receive an enteric-coated tablet, however the client is concerned the tablet is too big to swallow. What is the nurse's best action? You Selected: ● Provide water to assist in swallowing the pill Correct response: ● Ask the pharmacist if another form of the medication is available Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 1 See full question 10s A gerontological nurse is caring for older clients in an acute care facility. The clients are receiving various medications as part of their treatment plan. When administering the medications to these clients, the nurse integrates information about changes in pharmacokinetics in this client population, identifying which factor as most important? You Selected: ● Decreased renal and liver function contributes to an increased half-life for many drugs. Correct response: ● Decreased renal and liver function contributes to an increased half-life for many drugs. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121 & 136. Safe Medication Use - Page 121 & 136 Add a Note Question 2 See full question 13s Which of these lab data would be most important for a nurse to obtain when assessing a client who is taking furosemide? You Selected: ● Potassium level Correct response: ● Potassium level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 3 See full question 12s An older client is scheduled to receive an enteric-coated tablet, however the client is concerned the tablet is too big to swallow. What is the nurse's best action? You Selected: ● Ask the pharmacist if another form of the medication is available Correct response: ● Ask the pharmacist if another form of the medication is available Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 4 See full question 15s An older client has 50% of functioning nephrons. What should the nurse expect when reviewing this client’s prescribed medications? You Selected: ● reduced doses Correct response: ● reduced doses Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Add a Note Question 5 See full question 43s Which statements suggest that the older adult client has experienced an improvement in drug-related risk outcomes? Select all that apply. You Selected: ● "I can now get up from my chair without getting dizzy." ● "My memory is better, and I'm not confused anymore." ● "I haven't fallen in months." Correct response: ● "I can now get up from my chair without getting dizzy." ● "I haven't fallen in months." ● "My memory is better, and I'm not confused anymore." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Question 4 See full question 15s An older client has been prescribed atorvastatin to reduce cholesterol. Before administering the first dose, it is most important for the nurse to review which lab results? You Selected: ● Liver function tests Correct response: ● Liver function tests Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 136. Safe Medication Use - Page 136 Add a Noteis p Question 5 See full question 9s An older client is prescribed a diuretic for heart failure. What should the nurse include when teaching this client about ways to avoid hypokalemia? You Selected: ● avoid foods and beverages with caffeine Correct response: ● avoid foods and beverages with caffeine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121re Add a Note Question 6 See full question 25s The nurse notes that an older client who takes a sedative for sleep is drowsy during an afternoon visit in the home. For what should the nurse assess this client? You Selected: ● alcohol intake Correct response: ● alcohol intake Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, pp. 127-128. Safe Medication Use - Page 127-128 Add a Note Question 7 See full question 41s An older client, who has been taking the same medication for months, reports developing diarrhea and a headache over the last several days. What should the nurse consider when assessing this client further? You Selected: ● Onset of a new disease Correct response: ● Development of a new adverse effect Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 126. Safe Medication Use - Page 126 Add a Note Question 8 See full question 29s A nurse is providing care for an older adult population. Which statement demonstrates an understanding of effective medication therapy safety? You Selected: ● "Beer's criteria is a valuable tool for managing potential medication risks for older adults." Correct response: ● "Beer's criteria is a valuable tool for managing potential medication risks for older adults." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 9 See full question 18s Which statement provides evidence to the nurse that a client prescribed warfarin has an understanding of the interaction between the medication'and nutriental needs? You Selected: ● "I love kale but I know I can't eat it often." Correct response: ● "I love kale but I know I can't eat it often." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 128. Safe Medication Use - Page 128 Add a Note Question 10 See full question 34s The nurse provides client education regarding the effects of liver health on specific medication therapy. Which statement made by the client demonstrates the teaching was effective? You Selected: ● "I limit the acetaminophen I take in 24 hours for my arthritis ." Correct response: ● "I limit the acetaminophen I take in 24 hours for my arthritis ." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Question 1 See full question 9s When administering a proton pump inhibitor to a client with gastroesophageal reflux disease (GERD), the nurse notes that the client has great difficulty swallowing the enteric-coated pill. Which action would be most appropriate for the nurse to do when administering this medication to the client in the future? You Selected: ● Reposition the client and provide more fluid when giving the pill Correct response: ● Reposition the client and provide more fluid when giving the pill Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 123. Safe Medication Use - Page 123 Add a Note Question 2 See full question 10s During the admission interview, the nurse learns that an older client frequently experiences constipation. Which response by the nurse would be most appropriate? client? You Selected: ● "There are measures that I can teach you such as changing your diet and increasing the amount of fluids you drink." Correct response: ● "There are measures that I can teach you such as changing your diet and increasing the amount of fluids you drink." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 132. Safe Medication Use - Page 132 Add a Note Question 3 See full question 9s The teaching plan for an older adult client taking anxiolytics should include which instruction? You Selected: ● Limit caffeine intake. Correct response: ● Limit caffeine intake. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 132. Safe Medication Use - Page 132 Add a Note Question 4 See full question 8s Which of these lab data would be most important for a nurse to obtain when assessing a client who is taking furosemide? You Selected: ● Potassium level Correct response: ● Potassium level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 5 See full question 6s The healthcare provider has prescribed an antacid for an older adult client. What teaching should the nurse provide about taking this medication? You Selected: ● Avoid taking other medications within two hours. Correct response: ● Avoid taking other medications within two hours. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 126. Safe Medication Use - Page 126 Add a Note Question 6 See full question 13s An older adult is prescribed an antibiotic to be taken three times a day. What is the best schedule for administration of the antibiotic? You Selected: ● 8 am, 4 pm, 12 am Correct response: ● 6 am, 2 pm, 10 pm Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 131. Safe Medication Use - Page 131 Add a Note Question 7 See full question 7s A client is experiencing a new onset of hypertension. Which herbal preparation should the nurse suspect as the cause of this finding? You Selected: ● ginseng Correct response: ● ginseng Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Add a Note Question 8 See full question 7s An older client has 50% of functioning nephrons. What should the nurse expect when reviewing this client’s prescribed medications? You Selected: ● reduced doses Correct response: ● reduced doses Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Add a Note Question 9 See full question 10s An older client says that medications have not been taken because of not understanding when to take the dose and the amount. What limitation is this client demonstrating? You Selected: ● educational Correct response: ● educational Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 134. Safe Medication Use - Page 134 Add a Note Question 10 See full question 6s An older client is prescribed a sodium-restricted diet. Which medication should the nurse anticipate being changed for this client? You Selected: ● sodium bicarbonate Correct response: ● sodium bicarbonate Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 11 See full question 6s An older client takes diazepam for anxiety. Which drug level should be routinely evaluated for possible toxicity? You Selected: ● digoxin Correct response: ● digoxin Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 12 See full question 8s The nurse notes that an older client who takes a sedative for sleep is drowsy during an afternoon visit in the home. For what should the nurse assess this client? You Selected: ● alcohol intake Correct response: ● alcohol intake Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, pp. 127-128. Safe Medication Use - Page 127-128 Add a Note Question 13 See full question 10s Before administering a medication the nurse reviews the absorption, distribution, metabolism, and excretion of the drug. Which aspect of safe medication administration is the nurse completing? You Selected: ● Pharmacokinetics Correct response: ● Pharmacokinetics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 117. Safe Medication Use - Page 117 Add a Note Question 14 See full question 22s The nurse notes that an older client is prescribed a thiazide diuretic. Which other prescribed medication will be adversely affected by the diuretic? You Selected: ● Antidepressant Correct response: ● Antidepressant Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125 & 133. Safe Medication Use - Page 125 & 133 Add a Note Question 15 See full question 6s An older client with osteoarthritis takes acetaminophen 650 mg 2 tablets 3 times a day. What should the nurse respond to this client? You Selected: ● “This is the maximum amount you can take each day.” Correct response: ● “This is the maximum amount you can take each day.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 123. Safe Medication Use - Page 123 Add a Note Question 16 See full question 9s A recent immigrant is being treated for multiple chronic health issut es. It appears that the older client has not been medication adherent. Considering the client's social history, what factor should the nurse assess first? You Selected: ● Cultural values related to medications Correct response:imm ● Cultural values related to medications Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 17 See full question 9s An older client with a history of stroke and congestive heart failure demonstrates left-sided weakness, dysphasia and fatique. The caregiver shares that that the client often refuses to take medications as prescribed. Which assessment question should the nurse ask to best determine the possible cause of the non- adherence behaviors? You Selected: ● "Have you noticed the client having any difficult swallowing?" Correct response: ● "Have you noticed the client having any difficult swallowing?" Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 14 See full question 34s The nurse reviews the medication list provided by an older client. Which medication should the nurse expect to be prescribed for this client? Select all that apply. You Selected: ● Antidepressant ● Antihypertensive Correct response: ● Antacid ● Laxative ● Antihypertensive Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 126. Safe Medication Use - Page 126 Add a Note Question 20 See full question 17s Which client is at greatest risk for serious complications resulting from medication-induced anticholinergic effect? You Selected: ● The 67-year-old experiencing a detached retina Correct response: ● The 65-year-old diagnosed with prostatic hyperplasia Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Question 16 See full question 13s Which client statements demonstrate an understanding of safe and effective medication adminstration? Select all that apply. You Selected: ● "My blood pressure will get high again if I stop taking the medication." ● "I'm likely to get an upset stomach if I don't take the medication with food." Correct response: ● "I should start noticing less joint pain in 5 to 10 dayys." ● "My blood pressure will get high again if I stop taking the medication." ● "I'm to take this medication three times a day." ● "I'm likely to get an upset stomach if I don't take the medication with food." Question 18 See full question 6s Which client has the greatest risk for developing a medication toxicity issue? You Selected: ● The 56-year-old diagnosed with glomerular nephritis Correct response: ● The 56-year-old diagnosed with glomerular nephritis Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Add a Note Question 19 See full question 7s The nurse provides client education regarding the effects of liver health on specific medication therapy. Which statement made by the client demonstrates the teaching was effective? You Selected: ● "I limit the acetaminophen I take in 24 hours for my arthritis ." Correct response: ● "I limit the acetaminophen I take in 24 hours for my arthritis ." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 20 See full question 6s An older adult client expresses an interest in taking an over-the-counter fat- soluble vitamin supplement. What information should the nurse provide to help ensure the client's safety? You Selected: ● "Fat-soluble vitamins generally cause gastrointestinal problems." Correct response: ● "These vitamins are stored in the body longer and so can cause toxicity." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Question 16 See full question 14s Even though an older client reports taking the prescribed antihypertensive as prescribed, the most recent blood pressure measurement is 170/90 mm Hg. What should the nurse consider as interfering with the effects of the antihypertensive medication? You Selected: ● Insulin Correct response: ● Antacid Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 126. Safe Medication Use - Page 126 Question 3 See full question 18s An older client with a history of atrial fibrillation is prescribed digoxin daily. The nurse holds the medication and notifies the health care provider based on which assessment finding? You Selected: ● Heart rate is 60 beats per minute Correct response: ● Evidnece of agitation and delirium Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 135. Safe Medication Use - Page 135 Question 6 See full question 17s A nurse has administered metoprolol intravenously to a critically-ill older client with a blood pressure of 191/118. When should the nurse reassess the client's blood pressure? You Selected: ● In 30 minutes Correct response: ● In 5 minutes Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 118. Safe Medication Use - Page 118 Question 7 See full question 18s An older adult reports to the clinic with complaints of right upper abdominal pain. The client's medication history reveals that he takes Vitamin C on a daily basis with orange juice to prevent catching a cold. His only other complaint is that he has frequent headaches. What other medication should the nurse ask the client if he is taking? You Selected: ● Aspirin Correct response: ● Acetaminophen Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Question 1 See full question 1m 10s A gerontological nurse is caring for older clients in an acute care facility. The clients are receiving various medications as part of their treatment plan. When administering the medications to these clients, the nurse integrates information about changes in pharmacokinetics in this client population, identifying which factor as most important? You Selected: ● Decreased renal and liver function contributes to an increased half-life for many drugs. Correct response: ● Decreased renal and liver function contributes to an increased half-life for many drugs. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121 & 136. Safe Medication Use - Page 121 & 136 Add a Note Question 2 See full question 1m 14s A nurse at a long-term care facility is teaching a group of unlicensed assistive personnel about medications and their use in older adults. As part of the class, the nurse is addressing factors that characterize adverse drug reactions in older adult residents. Which information would the nurse most likely include? Select all that apply. You Selected: ● "While older adults are prone to adverse reactions, these reactions tend to resolve more quickly than in younger people." ● "Even when a resident stops taking a drug, a reaction can take place after the fact." ● "Even when a resident has been taking a drug for a long time, a drug reaction can still occur." Correct response: ● "Even when a resident stops taking a drug, a reaction can take place after the fact." ● "Even when a resident has been taking a drug for a long time, a drug reaction can still occur." ● "Older adults often have signs and symptoms of adverse reactions that are very different from those of younger adults." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 130. Safe Medication Use - Page 130 Add a Note Question 3 See full question 41s An older client has difficulty swallowing oral medicines and sometimes spits them out after the nurse leaves the client's room. Which action should the nurse take to ensure the client swallows the medications? You Selected: ● Giving the client ample fluids to make swallowing easier Correct response: ● Giving the client ample fluids to make swallowing easier Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Add a Note Question 4 See full question 15s An older client has been prescribed a potassium-sparing diuretic and a β-blocker for hypertension. Which action should be a priority for the nurse? You Selected: ● Closely monitoring the client's electrolyte levels Correct response: ● Ensuring the client does not change position quickly to prevent a fall Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 5 See full question 43s After completing an assessment of an older adult at home, the nurse determines that the client is at risk for medication errors. Which issue did the nurse most likely assess in this client? Select all that apply. You Selected: ● Hearing deficit ● Hand weakness ● Limited finances Correct response: ● Hand weakness ● Hearing deficit ● Limited finances Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Add a Note Question 6 See full question 36s A client develops anorexia, diarrhea, abdominal pain, and agitation while taking a digitalis preparation. Which data should the nurse review first? You Selected: ● Digoxin level Correct response: ● Digoxin level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 7 See full question 33s The nurse is caring for an older client admitted with dehydration. The client's serum albumin level is 2.9 g/100 mL. What is most important for the nurse to assess before administering the client's scheduled medications? You Selected: ● Dosage level of the medications Correct response: ● Dosage level of the medications Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 8 See full question 36s An older client is prescribed a diuretic for heart failure. What should the nurse include when teaching this client about ways to avoid hypokalemia? You Selected: ● avoid foods and beverages with caffeine Correct response: ● avoid foods and beverages with caffeine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 9 See full question 1m 7s An older client is being treated for heart failure. Which medication should the nurse monitor for potentially adverse effects in this client? You Selected: ● digoxin Correct response: ● digoxin Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 10 See full question 15s An older client demonstrates changes in cognition over the last few days. On what should the nurse focus first when assessing this client? You Selected: ● fluid intake Correct response: ● medication record Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Add a Note Question 11 See full question 29s An older client says that medications have not been taken because of not understanding when to take the dose and the amount. What limitation is this client demonstrating? You Selected: ● educational Correct response: ● educational Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 134. Safe Medication Use - Page 134 Add a Note Question 12 See full question 48s After using complementary and alternative approaches, an older client continues to experience pain. What should the nurse do at this time? You Selected: ● provide acetaminophen Correct response: ● provide acetaminophen Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 1 See full question 29s During the admission interview, the nurse learns that an older client frequently experiences constipation. Which response by the nurse would be most appropriate? client? You Selected: ● "There are measures that I can teach you such as changing your diet and increasing the amount of fluids you drink." Correct response: ● "There are measures that I can teach you such as changing your diet and increasing the amount of fluids you drink." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 132. Safe Medication Use - Page 132 Add a Note Question 2 See full question 26s After completing an assessment of an older adult at home, the nurse determines that the client is at risk for medication errors. Which issue did the nurse most likely assess in this client? Select all that apply. You Selected: ● Hand weakness ● Limited finances ● Hearing deficit Correct response: ● Hand weakness ● Hearing deficit ● Limited finances Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Add a Note Question 3 See full question 20s A client develops anorexia, diarrhea, abdominal pain, and agitation while taking a digitalis preparation. Which data should the nurse review first? You Selected: ● Digoxin level Correct response: ● Digoxin level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 4 See full question 24s An older client takes diazepam for anxiety. Which drug level should be routinely evaluated for possible toxicity? You Selected: ● digoxin Correct response: ● digoxin Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 5 See full question 14s Which client has the greatest risk for developing a medication toxicity issue? You Selected: ● The 56-year-old diagnosed with glomerular nephritis Correct response: ● The 56-year-old diagnosed with glomerular nephritis Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Question 13 See full question 31s An older client skips several doses of an antihypertensive because it causes the client to cough. Which medication should the nurse identify as causing this client’s symptom? You Selected: ● enalapril Correct response: ● enalapril Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 14 See full question 25s An older client takes diazepam for anxiety. Which drug level should be routinely evaluated for possible toxicity? You Selected: ● digoxin Correct response: ● digoxin Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 15 See full question 32s A client reports drinking 4 to 6 cups of caffeinated coffee each day. Which prescribed medication should the nurse expect to be affected by this client’s intake of caffeine? You Selected: ● Cimetidine Correct response: ● Cimetidine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 132. Safe Medication Use - Page 132 Add a Note Question 16 See full question 1m 54s A client is prescribed digitalis for a cardiac problem. Which supplement should the nurse instruct the client to avoid while taking this medication? You Selected: ● Calcium Correct response: ● Calcium Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 17 See full question 1m 22s The nurse recognizes that which client may be at high risk for adverse drug reaction when prescribed a antichoinergic medication? You Selected: ● A male diagnosed with benign prostatic hyperplasia Correct response: ● A male diagnosed with benign prostatic hyperplasia Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Add a Note Question 18 See full question 37s An older adult client has reported being non-adherent to the presribed medication therapy for a peptic ulcer. Which statement, made by the client, suggests the best possible reason for the behavior? You Selected: ● "I only read at the 3rd grade level." Correct response: ● "I only read at the 3rd grade level." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 135. Safe Medication Use - Page 135 Add a Note Question 19 See full question 59s Which statement provides evidence to the nurse that a client prescribed warfarin has an understanding of the interaction between the medication'and nutriental needs? You Selected: ● "I love kale but I know I can't eat it often." Correct response: ● "I love kale but I know I can't eat it often." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 128. Safe Medication Use - Page 128 Add a Note Question 20 See full question 31s Which statement made by an older adult client indicates to the nurse that the client is no longer experiencing a anticholinergic adverse affect to the antacids he or she takes regularly? You Selected: ● "My bowel movements are much more regular now," Correct response: ● "My bowel movements are much more regular now," Question 2 See full question 25s An older client with Alzheimer's disease is experiencing increasing episodes of agitation and wandering. The client has been prescribed risperidone (Risperdal), an atypical antipsychotic. The nurse notifies the practitioner about the order based on which reasoning? You Selected: ● Typical antipsychotics are preferable to traditional sedatives for the treatment of agitation and delirium Correct response: ● Using antipsychotics to manage the behavior of clients with dementia is inappropriate Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 130. Safe Medication Use - Page 130uld th Question 8 See full question 23s The nurse completes a medication history with an older client. Which question should the nurse ask when examining each medication that the client takes? You Selected: ● How often is the drug taken? Correct response: ● Why is the drug ordered? Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 131. Safe Medication Use - Page 131 Question 13 See full question 20s The nurse reviews the medications that an older client currently takes. Which medication should the nurse question because of a high risk of adverse effects in an older client? You Selected: ● Metoprolol Correct response: ● Diphenhydramine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 130. Safe Medication Use - Page 130 Question 16 See full question 19s Which questions asked by an older adult client indicate an understanding of the safe and effective administration of "as needed" (PRN) medications? Select all that apply. You Selected: ● "How often can I take the medication?" ● "What do I do if the symptoms don't subside?" ● "What's the maximum dosage for a 24 hour period?" Correct response: ● "How should I determine if I need the medication?" ● "What's the maximum dosage for a 24 hour period?" ● "How often can I take the medication?" ● "What do I do if the symptoms don't subside?" Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapte r8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Question 20 See full question 18s The older adult client is prescribed a new atypical antipsychotic medication. What instructions should the nurse provde the caregiver to manage adverse effects of the medication? Select all that apply. You Selected: ● "It's important to report any signs of confusion and disorientation." ● "Be sure to remove any trip or fall hazards from the house." ● "Assist the client from a sitting to standing position slowly." ● "Notify the health care provider if the client develops a rash or gastrointestinal problems." Correct response: ● "Assist the client from a sitting to standing position slowly." ● "Be sure to remove any trip or fall hazards from the house." ● "Notify the health care provider if the client appears to be sleeping during the day more than usual." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 130. Safe Medication Use - Page 130 Question 1 See full question 13s An older client has difficulty swallowing oral medicines and sometimes spits them out after the nurse leaves the client's room. Which action should the nurse take to ensure the client swallows the medications? You Selected: ● Giving the client ample fluids to make swallowing easier Correct response: ● Giving the client ample fluids to make swallowing easier Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Add a Note Question 2 See full question 28s The nurse learns that an older client uses antacids after every meal to treat chronic "indigestion." The nurse would assess the client for which condition? You Selected: ● Electrolyte imbalances and cardiac problems Correct response: ● Electrolyte imbalances and cardiac problems Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 3 See full question 9s After using complementary and alternative approaches, an older client continues to experience pain. What should the nurse do at this time? You Selected: ● provide acetaminophen Correct response: ● provide acetaminophen Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 4 See full question 27s Before administering a medication the nurse reviews the absorption, distribution, metabolism, and excretion of the drug. Which aspect of safe medication administration is the nurse completing? You Selected: ● Pharmacokinetics Correct response: ● Pharmacokinetics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 117. Safe Medication Use - Page 117 Add a Note Question 5 See full question 10s Which statement made by an older adult client indicates to the nurse that the client is no longer experiencing a anticholinergic adverse affect to the antacids he or she takes regularly? You Selected: ● "My bowel movements are much more regular now," Correct response: ● "My bowel movements are much more regular now," Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 129. Safe Medication Use - Page 129 Question 1 See full question 19s An older adult is brought to the emergency department experiencing extreme confusion. Which action should the emergency department staff take first? You Selected: ● Review the drugs being taken Correct response: ● Review the drugs being taken Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, pp. 133-134. Safe Medication Use - Page 133-134 Add a Note Question 2 See full question 56s After completing a medication history, the nurse is concerned that an older client is at risk for drug toxicity. Which assessment finding would support the nurse’s suspicion? Select all that apply. You Selected: ● Experiences transient dizziness after taking anticonvulsant medication ● Drinks grapefruit juice with prescribed gabapentin for peripheral neuropathy ● Takes daily doses of digoxin for an arrhythmia and carbamazepine for seizures Correct response: ● Takes daily doses of digoxin for an arrhythmia and carbamazepine for seizures ● Drinks grapefruit juice with prescribed gabapentin for peripheral neuropathy Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121 & 125. Safe Medication Use - Page 121 & 125 Add a Note Question 3 See full question 20s A client is experiencing a new onset of hypertension. Which herbal preparation should the nurse suspect as the cause of this finding? You Selected: ● ginseng Correct response: ● ginseng Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Add a Note Question 4 See full question 23s An older client experiences arthritis pain. Which medication should the nurse identify as being the safest for this client? You Selected: ● acetaminophen Correct response: ● acetaminophen Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 5 See full question 36s An older client is prescribed a beta blocker. For which client health problem should the nurse question this medication before administering to the client? You Selected: ● chronic obstructive pulmonary disease Correct response: ● chronic obstructive pulmonary disease Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 128. Safe Medication Use - Page 128 Add a Note Question 6 See full question 46s The nurse administers oral medications to an older client. What should the nurse do to ensure that the client swallows the medication? You Selected: ● examine the mouth after administering Correct response: ● examine the mouth after administering Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Add a Note Question 7 See full question 38s An older client is prescribed thioridazine. What should the nurse add to this client’s plan of care? You Selected: ● fall prevention strategies Correct response: ● fall prevention strategies Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 135. Safe Medication Use - Page 135 Add a Note Question 8 See full question 5s The nurse notes that an older client takes ginseng every day. For which adverse effect should the nurse monitor this client? You Selected: ● Elevated blood pressure Correct response: ● Elevated blood pressure Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Add a Note Question 1 See full question 26s The nurse is caring for an older client admitted with dehydration. The client's serum albumin level is 2.9 g/100 mL. What is most important for the nurse to assess before administering the client's scheduled medications? You Selected: ● Dosage level of the medications Correct response: ● Dosage level of the medications Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 2 See full question 23s The nurse reviews current medications with an older client. From which classification should the nurse expect this client to be prescribed medications? You Selected: ● anticoagulants Correct response: ● analgesics Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 126. Safe Medication Use - Page 126 Add a Note Question 3 See full question 19s A client reports drinking 4 to 6 cups of caffeinated coffee each day. Which prescribed medication should the nurse expect to be affected by this client’s intake of caffeine? You Selected: ● Cimetidine Correct response: ● Cimetidine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 132. Safe Medication Use - Page 132 Add a Note Question 4 See full question 26s A client is prescribed digitalis for a cardiac problem. Which supplement should the nurse instruct the client to avoid while taking this medication? You Selected: ● Calcium Correct response: ● Calcium Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 5 See full question 16s An older adult client has been prescribed a needed medication. Which questions should the nurse ask to best assess for safe medication administration? Select all that apply. You Selected: ● "How will you know if the medication is working as it should?" ● "What should you do if you miss a dose?" ● "Can you tell me why you are taking this medication?" ● "How long should you continue to take this medication?" Correct response: ● "Can you tell me why you are taking this medication?" ● "How long should you continue to take this medication?" ● "How will you know if the medication is working as it should?" ● "What should you do if you miss a dose?" Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Question 9 See full question 1m 2s An older adult client has been prescribed a needed medication. Which questions should the nurse ask to best assess for safe medication administration? Select all that apply. You Selected: ● "What should you do if you miss a dose?" ● "Can you tell me why you are taking this medication?" ● "How long should you continue to take this medication?" ● "How will you know if the medication is working as it should?" Correct response: ● "Can you tell me why you are taking this medication?" ● "How long should you continue to take this medication?" ● "How will you know if the medication is working as it should?" ● "What should you do if you miss a dose?" Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Add a Note Question 10 See full question 1m 4s An older client with a history of stroke and congestive heart failure demonstrates left- sided weakness, dysphasia and fatique. The caregiver shares that that the client often refuses to take medications as prescribed. Which assessment question should the nurse ask to best determine the possible cause of the non-adherence behaviors? You Selected: ● "Have you noticed the client having any difficult swallowing?" Correct response: ● "Have you noticed the client having any difficult swallowing?" Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Question 1 See full question 36s A nurse is reviewing the medication history of a newly admitted older client. The nurse notes that the client has been taking a b-blocker for many years despite no apparent history of hypertension or cardiac disease. Which action would the nurse take first? You Selected: ● Request that the practitoner providing care reconsider the use of the drug Correct response: ● Request that the practitoner providing care reconsider the use of the drug Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 123. Safe Medication Use - Page 123 Add a Noteement Question 2 See full question 34s A client is prescribed a potassium supplement. What should the nurse include when teaching the client about this medication? You Selected: ● Do not take with milk Correct response: ● Do not take with milk Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Add a Note Question 3 See full question 54s The nurse completes an assessment of an older client. What should the nurse do first when reviewing this client’s list of prescribed medications? You Selected: ● strategize ways to ensure the client takes medications as prescribed Correct response: ● match the medications with Beers criteria Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 4 See full question 40s The nurse is concerned that an older client’s infection is not improving despite taking ampicillin as prescribed. Which medication should the nurse consider as the reason for this outcome? You Selected: ● antacids Correct response: ● antacids Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 5 See full question 34s The nurse reviews an older client’s medication list and immediately assesses the client’s cognitive function. Which medication caused the nurse to make this clinical determination? You Selected: ● Codeine Correct response: ● Codeine Question 1 See full question 1m 20s The nurse caring for residents in a long-term care facility administers numerous antidepressant medications each day. For which resident should the nurse investigate a possible change in treatment? You Selected: ● A 91-year-old resident who has been taking a tricyclic antidepressant since the onset of his physical decline several years prior Correct response: ● A 91-year-old resident who has been taking a tricyclic antidepressant since the onset of his physical decline several years prior Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 129. Safe Medication Use - Page 129al Add a Note Question 2 See full question 30s An older client with heart failure has a low serum albumin level. Which medication should the nurse expect to be less effective in this client? You Selected: ● furosemide Correct response: ● furosemide Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 3 See full question 1m 30s During a home visit the nurse notes that an older client’s prescription for a long-standing medication has a large number of doses remaining in the container even though the prescription should be refilled in a week. What limitation should the nurse suspect this client is demonstrating? You Selected: ● Functional Correct response: ● Financial Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 131. Safe Medication Use - Page 131 Add a Note Question 4 See full question 13s Question 1 See full question 12s After completing an assessment of an older adult at home, the nurse determines that the client is at risk for medication errors. Which issue did the nurse most likely assess in this client? Select all that apply. You Selected: ● Hearing deficit ● Hand weakness ● Limited finances Correct response: ● Hand weakness ● Hearing deficit ● Limited finances Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Add a Note Question 2 See full question 7s A client develops anorexia, diarrhea, abdominal pain, and agitation while taking a digitalis preparation. Which data should the nurse review first? You Selected: ● Digoxin level Correct response: ● Digoxin level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 3 See full question 18s An older client says that medications have not been taken because of not understanding when to take the dose and the amount. What limitation is this client demonstrating? You Selected: ● educational Correct response: ● educational Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 134. Safe Medication Use - Page 134 Add a Note Question 4 See full question 31s A nurse is providing care for an older adult population. Which statement demonstrates an understanding of effective medication therapy safety? You Selected: ● "Beer's criteria is a valuable tool for managing potential medication risks for older adults." Correct response: ● "Beer's criteria is a valuable tool for managing potential medication risks for older adults." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 5 See full question 10s Which client statement demonstrates to the nurse appropriate motivation for adherence to prescribed medication therapy? You Selected: ● "I don't want high blood pressure to end my life early." Correct response: ● "I don't want high blood pressure to end my life early." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Which client statement demonstrates to the nurse appropriate motivation for adherence to prescribed medication therapy? You Selected: ● "I don't want high blood pressure to end my life early." Correct response: ● "I don't want high blood pressure to end my life early." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 5 See full question 1m 10s An older adult client reports taking a calcium-based antacid for indigestion. What assessment question demonstrates the nurse's understanding of the risk involved with this over-the-counter medication? You Selected: ● "How often do you experience problems with constipation?" Correct response: ● "How often do you experience problems with constipation?" Question 1 See full question 36s When administering a proton pump inhibitor to a client with gastroesophageal reflux disease (GERD), the nurse notes that the client has great difficulty swallowing the enteric-coated pill. Which action would be most appropriate for the nurse to do when administering this medication to the client in the future? You Selected: ● Reposition the client and provide more fluid when giving the pill Correct response: ● Reposition the client and provide more fluid when giving the pill Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 123. Safe Medication Use - Page 123 Add a Note Question 2 See full question 56s The nurse is performing a home visit to an older client who has a history of obesity and poorly controlled hypertension. Which assessment finding would alert the nurse to the possibility of a problem? You Selected: ● The client has started taking St. John's wort to increase stamina and concentration. Correct response: ● The client has started taking St. John's wort to increase stamina and concentration. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 3 See full question 11s A client is experiencing a new onset of hypertension. Which herbal preparation should the nurse suspect as the cause of this finding? You Selected: ● ginseng Correct response: ● ginseng Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Add a Note Question 4 See full question 7s An older client demonstrates changes in cognition over the last few days. On what should the nurse focus first when assessing this client? You Selected: ● medication record Correct response: ● medication record Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Add a Note Question 5 See full question 14s An older client says that medications have not been taken because of not understanding when to take the dose and the amount. What limitation is this client demonstrating? You Selected: ● educational Correct response: ● educational Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 134. Safe Medication Use - Page 134 Add a Note Question 6 See full question 24s The nurse is concerned that an older client’s infection is not improving despite taking ampicillin as prescribed. Which medication should the nurse consider as the reason for this outcome? You Selected: ● antacids Correct response: ● antacids Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 7 See full question 23s An older client with osteoarthritis takes acetaminophen 650 mg 2 tablets 3 times a day. What should the nurse respond to this client? You Selected: ● “This is the maximum amount you can take each day.” Correct response: ● “This is the maximum amount you can take each day.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 123. Safe Medication Use - Page 123 Add a Note Question 8 See full question 50s The nurse notes that an older client’s capillary blood glucose level is 60 mg/dL. After reviewing the client’s current medications, which medication should the nurse discuss with the health care provider as causing the client’s blood glucose level to drop? You Selected: ● Chlorpromazine Correct response: ● Ranitidine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121 & 127. Safe Medication Use - Page 121 & 127 Add a Note Question 9 See full question 45s The nurse learns that an older client has been taking meprobamate for several months to help reduce anxiety after the death of a spouse. What care should the nurse anticipate for this client? You Selected: ● Gradual reduction in doses before discontinuing the medication Correct response: ● Gradual reduction in doses before discontinuing the medication Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 128. Safe Medication Use - Page 128 Add a Note Question 1 See full question 12s An older client is being treated for heart failure. Which medication should the nurse monitor for potentially adverse effects in this client? You Selected: ● digoxin Correct response: ● digoxin Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 2 See full question 31s An older client skips several doses of an antihypertensive because it causes the client to cough. Which medication should the nurse identify as causing this client’s symptom? You Selected: ● enalapril Correct response: ● enalapril Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 3 See full question 18s An older client is prescribed thioridazine. What should the nurse add to this client’s plan of care? You Selected: ● fall prevention strategies Correct response: ● fall prevention strategies Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 135. Safe Medication Use - Page 135 Add a Note Question 4 See full question 12s An older client with osteoarthritis takes acetaminophen 650 mg 2 tablets 3 times a day. What should the nurse respond to this client? You Selected: ● “This is the maximum amount you can take each day.” Correct response: ● “This is the maximum amount you can take each day.” Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 123. Safe Medication Use - Page 123 Add a Note Question 5 See full question 10s A recent immigrant is being treated for multiple chronic health issues. It appears that the older client has not been medication adherent. Considering the client's social history, what factor should the nurse assess first? You Selected: ● Cultural values related to medications Correct response: ● Cultural values related to medications Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Question 10 See full question 25s A recent immigrant is being treated for multiple chronic health issues. It appears that the older client has not been medication adherent. Considering the client's social history, what factor should the nurse assess first? You Selected: ● Cultural values related to medications Correct response: ● Cultural values related to medications Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 8 See full question 1m 52s An older client is diagnosed with iron deficiency anemia. Which medication should the nurse identify as potentially causing this disorder? You Selected: ● cimetidine Correct response: ● cimetidine Question 7 See full question 45ss The nurse teaches an older client about interactions between prescribed medications. Which client statement indicates that additional teaching is required? You Selected: ● “My digitalis medication has no effect on the salicylate medication that I take every day.” Correct response: ● “Antacids will increase the effectiveness of my digitalis preparation.” Question 12 See full question 19s The nurse notes that an older client takes an antidepressant medication. What should the nurse emphasize when reviewing this medication with the client? You Selected: ● avoid all alcohol Correct response: ● avoid all alcohol Question 3 See full question 28s An older client is prescribed a diuretic for the treatment of hypertension. The nurse would assess the client closely for the development of which health problem? You Selected: ● Cognitive changes Correct response: ● Manifestations of fluid and electrolyte imbalances Question 12 See full question 32s An older client taking spironolactone is experiencing an increase in blood pressure. Which medication should the nurse identify as potentially causing the increase in this client’s blood pressure? You Selected: ● warfarin Correct response: ● aspirin 1m 2s The nurse reviews the purpose of a diuretic to treat an older client’s hypertension. Which statement indicates that teaching has been effective? You Selected: ● “This pill makes my kidneys make more urine.” Correct response: ● “This pill causes blood vessels to enlarge and remove water from my body.” Question 16 41s Which medical diagnoses require client education related to the risks associated with the use of herbs as medication? Select all that apply. You Selected: ● Glaucoma ● Stroke ● Hypertension Correct response: ● Stroke ● Glaucoma ● Hypertension ● Diabetes Question 12 22s An older client asks why heparin has been prescribed. Which response should the nurse make to this client? You Selected: ● “It prevents the development of new blood clots.” Correct response: ● “It prevents the development of new blood clots.” Question 7 15s A client is experiencing stress incontinence. Which medication should the nurse suspect is causing this client an adverse reaction? You Selected: ● beta-blocker Correct response: ● alpha-blocker dicat The nurse reviews new medications prescribed for a client with Parkinson disease. Which medication should the nurse question before administering to this client? You Selected: ● Chlorpromazine Correct response: ● Metoclopramide An older adult client shares with the nurse that, "I don't take medications and, besides, everyone has some degree of high blood pressure." What should the nurse focus on when responding to the client's statement? Select all that apply. You Selected: ● Ability to read ● Related psychosocial values Correct response: ● Understanding of the underlying health condition ● Cultural values related to medications ● Related psychosocial values 22s Which statement provides evidence to the nurse that a client prescribed warfarin has an understanding of the interaction between the medication'and nutriental needs? You Selected: ● "I've switched to low fat and fat free dairy products." Correct response: ● "I love kale but I know I can't eat it often." Question 4 See full question 13s An older client with a history of deep vein thrombosis is prescribed daily warfarin therapy, an oral anticoagulant. Which food should the nurse instruct the client to monitor to ensure the effectiveness of the medication regimen? You Selected: ● Foods high in vitamin K such as asparagus and green leafy vegetables Correct response: ● Foods high in vitamin K such as asparagus and green leafy vegetables Question 11 See full question 12s An older client is diagnosed with hypertension. For which lifestyle alteration should the nurse prepare teaching material for this client? You Selected: ● low-sodium diet Correct response: ● low-sodium diet Question 14 See full question 12s An older client reports taking oral aloe every day. Which prescribed medication is being adversely affected by this herbal supplement? You Selected: ● Phenytoin Correct response: ● Digitalis Question 3 See full question 47s An older adult client with reduced kidney function was prescribed a barbiturate. The client experienced a severe adverse reaction, which was nearly fatal. The nurse would identify which event as being the most likely reason for this occurrence? You Selected: ● Increased reabsorption of the drugs into the blood Correct response: ● Increased biological half-life of the drug Question 8 See full question 19s An older client is scheduled to receive several medications at bedtime. Which medication order should the nurse question before administration? You Selected: ● Insulin for diabetes mellitus Correct response: ● Diphenhydramine for sleep Question 20 See full question 1m 44s Which client is at greatest risk for serious complications resulting from medication-induced anticholinergic effect? You Selected: ● The 70-year-old who experiences diarrhea often Correct response: ● The 65-year-old diagnosed with prostatic hyperplasia Question 4 See full question 14s An older client is experiencing moderate pain after joint replacement surgery. Which medication should the nurse expect to be prescribed for this client? You Selected: ● fentanyl Correct response: ● codeine Question 8 See full question 12s Which medical diagnoses require client education related to the risks associated with the use of herbs as medication? Select all that apply. You Selected: ● Glaucoma ● Stroke ● Tinnitus Correct response: ● Stroke ● Glaucoma ● Hypertension ● Diabetes Question 9 See full question 23s The nurse should immediately assess the current medication therapies when the older adult client makes which statement? Select all that apply. You Selected: ● "I have a terrible ragweed allergy." ● "I was diagnosed with schizophrenia when I was 19 years old." ● "I've been treated for anxiety since my spouse died." Correct response: ● "I have a terrible ragweed allergy." ● "I was diagnosed with schizophrenia when I was 19 years old." ● "I've been treated for anxiety since my spouse died." ● "The NSAID I take really helps my arthritis pain." An older client admitted to the hospital with renal failure is overheard asking his family to bring in the licorice from the kitchen. The nurse cautions the client about the use of licorice and possible interaction with the client’s prescribed medications. Which adverse effect would the nurse cite? Select all that apply. You Selected: ● Hypokalemia ● Hypernatremia ● Edema Correct response: ● Edema ● Hypokalemia ● Hypertension ● Hypernatremia After completing an assessment of an older adult at home, the nurse determines that the client is at risk for medication errors. Which issue did the nurse most likely assess in this client? Select all that apply. You Selected: ● Hearing deficit ● Limited finances ● Hand weakness Correct response: ● Hand weakness ● Hearing deficit ● Limited finances Which statement made by an older adult client indicates to the nurse that the client is no longer experiencing a anticholinergic adverse affect to the antacids he or she takes regularly? You Selected: ● "My bowel movements are much more regular now," Correct response: ● "My bowel movements are much more regular now," Question 1 See full question 1m 10s A gerontological nurse is caring for older clients in an acute care facility. The clients are receiving various medications as part of their treatment plan. When administering the medications to these clients, the nurse integrates information about changes in pharmacokinetics in this client population, identifying which factor as most important? You Selected: ● Decreased renal and liver function contributes to an increased half-life for many drugs. Correct response: ● Decreased renal and liver function contributes to an increased half-life for many drugs. Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121 & 136. Safe Medication Use - Page 121 & 136 Add a Note Question 2 See full question 1m 14s A nurse at a long-term care facility is teaching a group of unlicensed assistive personnel about medications and their use in older adults. As part of the class, the nurse is addressing factors that characterize adverse drug reactions in older adult residents. Which information would the nurse most likely include? Select all that apply. You Selected: ● "While older adults are prone to adverse reactions, these reactions tend to resolve more quickly than in younger people." ● "Even when a resident stops taking a drug, a reaction can take place after the fact." ● "Even when a resident has been taking a drug for a long time, a drug reaction can still occur." Correct response: ● "Even when a resident stops taking a drug, a reaction can take place after the fact." ● "Even when a resident has been taking a drug for a long time, a drug reaction can still occur." ● "Older adults often have signs and symptoms of adverse reactions that are very different from those of younger adults." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 130. Safe Medication Use - Page 130 Add a Note Question 3 See full question 41s An older client has difficulty swallowing oral medicines and sometimes spits them out after the nurse leaves the client's room. Which action should the nurse take to ensure the client swallows the medications? You Selected: ● Giving the client ample fluids to make swallowing easier Correct response: ● Giving the client ample fluids to make swallowing easier Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Add a Note Question 4 See full question 15s An older client has been prescribed a potassium-sparing diuretic and a β-blocker for hypertension. Which action should be a priority for the nurse? You Selected: ● Closely monitoring the client's electrolyte levels Correct response: ● Ensuring the client does not change position quickly to prevent a fall Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 5 See full question 43s After completing an assessment of an older adult at home, the nurse determines that the client is at risk for medication errors. Which issue did the nurse most likely assess in this client? Select all that apply. You Selected: ● Hearing deficit ● Hand weakness ● Limited finances Correct response: ● Hand weakness ● Hearing deficit ● Limited finances Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Add a Note Question 6 See full question 36s A client develops anorexia, diarrhea, abdominal pain, and agitation while taking a digitalis preparation. Which data should the nurse review first? You Selected: ● Digoxin level Correct response: ● Digoxin level Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 7 See full question 33s The nurse is caring for an older client admitted with dehydration. The client's serum albumin level is 2.9 g/100 mL. What is most important for the nurse to assess before administering the client's scheduled medications? You Selected: ● Dosage level of the medications Correct response: ● Dosage level of the medications Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 8 See full question 36s An older client is prescribed a diuretic for heart failure. What should the nurse include when teaching this client about ways to avoid hypokalemia? You Selected: ● avoid foods and beverages with caffeine Correct response: ● avoid foods and beverages with caffeine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 9 See full question 1m 7s An older client is being treated for heart failure. Which medication should the nurse monitor for potentially adverse effects in this client? You Selected: ● digoxin Correct response: ● digoxin Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 10 See full question 15s An older client demonstrates changes in cognition over the last few days. On what should the nurse focus first when assessing this client? You Selected: ● fluid intake Correct response: ● medication record Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 124. Safe Medication Use - Page 124 Add a Note Question 11 See full question 29s An older client says that medications have not been taken because of not understanding when to take the dose and the amount. What limitation is this client demonstrating? You Selected: ● educational Correct response: ● educational Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 134. Safe Medication Use - Page 134 Add a Note Question 12 See full question 48s After using complementary and alternative approaches, an older client continues to experience pain. What should the nurse do at this time? You Selected: ● provide acetaminophen Correct response: ● provide acetaminophen Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 13 See full question 31s An older client skips several doses of an antihypertensive because it causes the client to cough. Which medication should the nurse identify as causing this client’s symptom? You Selected: ● enalapril Correct response: ● enalapril Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 14 See full question 25s An older client takes diazepam for anxiety. Which drug level should be routinely evaluated for possible toxicity? You Selected: ● digoxin Correct response: ● digoxin Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 15 See full question 32s A client reports drinking 4 to 6 cups of caffeinated coffee each day. Which prescribed medication should the nurse expect to be affected by this client’s intake of caffeine? You Selected: ● Cimetidine Correct response: ● Cimetidine Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 132. Safe Medication Use - Page 132 Add a Note Question 16 See full question 1m 54s A client is prescribed digitalis for a cardiac problem. Which supplement should the nurse instruct the client to avoid while taking this medication? You Selected: ● Calcium Correct response: ● Calcium Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 17 See full question 1m 22s The nurse recognizes that which client may be at high risk for adverse drug reaction when prescribed a antichoinergic medication? You Selected: ● A male diagnosed with benign prostatic hyperplasia Correct response: ● A male diagnosed with benign prostatic hyperplasia Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Add a Note Question 18 See full question 37s An older adult client has reported being non-adherent to the prescribed medication therapy for a peptic ulcer. Which statement, made by the client, suggests the best possible reason for the behavior? You Selected: ● "I only read at the 3rd grade level." Correct response: ● "I only read at the 3rd grade level." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 135. Safe Medication Use - Page 135 Add a Note Question 19 See full question 59s Which statement provides evidence to the nurse that a client prescribed warfarin has an understanding of the interaction between the medication'and nutriental needs? You Selected: ● "I love kale but I know I can't eat it often." Correct response: ● "I love kale but I know I can't eat it often." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 128. Safe Medication Use - Page 128 Add a Note Question 20 See full question 31s Which statement made by an older adult client indicates to the nurse that the client is no longer experiencing a anticholinergic adverse affect to the antacids he or she takes regularly? You Selected: ● "My bowel movements are much more regular now," Correct response: ● "My bowel movements are much more regular now," Question 1 See full question 19s An older adult is brought to the emergency department experiencing extreme confusion. Which action should the emergency department staff take first? You Selected: ● Review the drugs being taken Correct response: ● Review the drugs being taken Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, pp. 133-134. Safe Medication Use - Page 133-134 Add a Note Question 2 See full question 56s After completing a medication history, the nurse is concerned that an older client is at risk for drug toxicity. Which assessment finding would support the nurse’s suspicion? Select all that apply. You Selected: ● Experiences transient dizziness after taking anticonvulsant medication ● Drinks grapefruit juice with prescribed gabapentin for peripheral neuropathy ● Takes daily doses of digoxin for an arrhythmia and carbamazepine for seizures Correct response: ● Takes daily doses of digoxin for an arrhythmia and carbamazepine for seizures ● Drinks grapefruit juice with prescribed gabapentin for peripheral neuropathy Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121 & 125. Safe Medication Use - Page 121 & 125 Add a Note Question 3 See full question 20s A client is experiencing a new onset of hypertension. Which herbal preparation should the nurse suspect as the cause of this finding? You Selected: ● ginseng Correct response: ● ginseng Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Add a Note Question 4 See full question 23s An older client experiences arthritis pain. Which medication should the nurse identify as being the safest for this client? You Selected: ● acetaminophen Correct response: ● acetaminophen Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 5 See full question 36s An older client is prescribed a beta blocker. For which client health problem should the nurse question this medication before administering to the client? You Selected: ● chronic obstructive pulmonary disease Correct response: ● chronic obstructive pulmonary disease Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 128. Safe Medication Use - Page 128 Add a Note Question 6 See full question 46s The nurse administers oral medications to an older client. What should the nurse do to ensure that the client swallows the medication? You Selected: ● examine the mouth after administering Correct response: ● examine the mouth after administering Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 122. Safe Medication Use - Page 122 Add a Note Question 7 See full question 38s An older client is prescribed thioridazine. What should the nurse add to this client’s plan of care? You Selected: ● fall prevention strategies Correct response: ● fall prevention strategies Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 135. Safe Medication Use - Page 135 Add a Note Question 8 See full question 5s The nurse notes that an older client takes ginseng every day. For which adverse effect should the nurse monitor this client? You Selected: ● Elevated blood pressure Correct response: ● Elevated blood pressure Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 120. Safe Medication Use - Page 120 Add a Note Question 9 See full question 1m 2s An older adult client has been prescribed a needed medication. Which questions should the nurse ask to best assess for safe medication administration? Select all that apply. You Selected: ● "What should you do if you miss a dose?" ● "Can you tell me why you are taking this medication?" ● "How long should you continue to take this medication?" ● "How will you know if the medication is working as it should?" Correct response: ● "Can you tell me why you are taking this medication?" ● "How long should you continue to take this medication?" ● "How will you know if the medication is working as it should?" ● "What should you do if you miss a dose?" Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Add a Note Question 10 See full question 1m 4s An older client with a history of stroke and congestive heart failure demonstrates left- sided weakness, dysphasia and fatique. The caregiver shares that that the client often refuses to take medications as prescribed. Which assessment question should the nurse ask to best determine the possible cause of the non-adherence behaviors? You Selected: ● "Have you noticed the client having any difficult swallowing?" Correct response: ● "Have you noticed the client having any difficult swallowing?" Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Question 1 See full question 36s A nurse is reviewing the medication history of a newly admitted older client. The nurse notes that the client has been taking a b-blocker for many years despite no apparent history of hypertension or cardiac disease. Which action would the nurse take first? You Selected: ● Request that the practitoner providing care reconsider the use of the drug Correct response: ● Request that the practitoner providing care reconsider the use of the drug Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 123. Safe Medication Use - Page 123 Add a Note Question 2 See full question 34s A client is prescribed a potassium supplement. What should the nurse include when teaching the client about this medication? You Selected: ● Do not take with milk Correct response: ● Do not take with milk Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 138. Safe Medication Use - Page 138 Add a Note Question 3 See full question 54s The nurse completes an assessment of an older client. What should the nurse do first when reviewing this client’s list of prescribed medications? You Selected: ● strategize ways to ensure the client takes medications as prescribed Correct response: ● match the medications with Beers criteria Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 125. Safe Medication Use - Page 125 Add a Note Question 4 See full question 40s The nurse is concerned that an older client’s infection is not improving despite taking ampicillin as prescribed. Which medication should the nurse consider as the reason for this outcome? You Selected: ● antacids Correct response: ● antacids Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 127. Safe Medication Use - Page 127 Add a Note Question 5 See full question 34s The nurse reviews an older client’s medication list and immediately assesses the client’s cognitive function. Which medication caused the nurse to make this clinical determination? You Selected: ● Codeine Correct response: ● Codeine Question 1 See full question 1m 20s The nurse caring for residents in a long-term care facility administers numerous antidepressant medications each day. For which resident should the nurse investigate a possible change in treatment? You Selected: ● A 91-year-old resident who has been taking a tricyclic antidepressant since the onset of his physical decline several years prior Correct response: ● A 91-year-old resident who has been taking a tricyclic antidepressant since the onset of his physical decline several years prior Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 129. Safe Medication Use - Page 129 Add a Note Question 2 See full question 30s An older client with heart failure has a low serum albumin level. Which medication should the nurse expect to be less effective in this client? You Selected: ● furosemide Correct response: ● furosemide Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 3 See full question 1m 30s During a home visit the nurse notes that an older client’s prescription for a long-standing medication has a large number of doses remaining in the container even though the prescription should be refilled in a week. What limitation should the nurse suspect this client is demonstrating? You Selected: ● Functional Correct response: ● Financial Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 131. Safe Medication Use - Page 131 Add a Note Question 4 See full question 13s Which client statement demonstrates to the nurse appropriate motivation for adherence to prescribed medication therapy? You Selected: ● "I don't want high blood pressure to end my life early." Correct response: ● "I don't want high blood pressure to end my life early." Explanation: Reference: ● Miller, C. A., Nursing for Wellness in Older Adults, 8th ed., Philadelphia, Wolters Kluwer, 2019, Safe Medication Use, Chapter 8: Medications and Other Bioactive Substances, p. 121. Safe Medication Use - Page 121 Add a Note Question 5 See full question 1m 10s An older adult client reports taking a calcium-based antacid for indigestion. What assessment question demonstrates the nurse's understanding of the risk involved with this over-the-counter medication? You Selected: ● "How often do you experience problems with constipation?" Correct response: ● "How often do you experience problems with constipation?"