The practical nurse (PN) is implementing a self-medication program for an older resident who is newly
admitted to an assisted living community. Which actions should the PN implement to provide the
resident ways to ma
...
The practical nurse (PN) is implementing a self-medication program for an older resident who is newly
admitted to an assisted living community. Which actions should the PN implement to provide the
resident ways to maintain safe medication administration? (select all that apply.) Correct Answer-A.
Locked medication storage in the client's room.
B. Medication Administration Record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
Which age-related changes in the cardiovascular system should the practical nurse (PN) document when
evaluating an older client? (select all that apply.) Correct Answer-C. Cardiac murmurs.
D. Widening pulse pressure.
An older client who recently moved into an assisted living community refuses to eat or join any
activities. When evaluating the client further, what should the practical nurse (PN) focus on during the
next examination? Correct Answer-Depression.
The practical nurse (PN) is caring for an elderly client with functional incontinence who lives in an
assisted living community. The client is alert, mildly confused, and can self ambulate. Which nursing
intervention should the PN implement? Correct Answer-Offer assistance with toileting q2 hours.
The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client who
arrives at the clinic for an annual physical examination. What common side effect should the practical
nurse (PN) advise the client to observe for with this medication? Correct Answer-Headaches.
The practical nurse (PN) is re-enforcing discharge instructions with the family of an older client who was
recently admitted for an intestinal obstruction. Which statement indicates that the family understands
the instructions? Correct Answer-Report abdominal distention, constipation, or any nausea and
vomiting to the health care provider.
An older client asks the practical nurse (PN) how he can reduce his incidents of hemorrhoidal flare ups.
What information should the PN offer the client to prevent rectal discomfort?( Select all that apply.)
Correct Answer-A. Increase fiber and liquids in the diet to help prevent constipation and straining.
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
D. Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues.
E. Establish bowel habits by scheduling time where the client is not rushed to defecate daily.
An older male client is seeking counseling about his recent sexual issues with his partner. What issue
should the practical nurse explore in this discussion? Correct Answer-Certain medications may impact
sexual function.
During the quarterly evaluations of the clients in the assisted living community, the practical nurse (PN)
observes for findings of failure to thrive in the gerian population. Which findings should the PN
document and report as manifestations related to failure to thrive? (selct all that apply.) Correct
Answer-A. Unintentional weigh loss
B. Increased weakness.
C. Increased amounts of sleep
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