Walden University
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| A 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension. The patient lives in assisted living and is on a low-sodium diet. Before th | show 🗑
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| A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to | show 🗑
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| A 70-year-old woman has experienced peripheral edema and decreasing stamina in recent months and has sought care from her primary care provider. The patient's subsequent diagnostic workup has resulted in a diagnosis of chronic heart failure. The woman has | show 🗑
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| show | B. Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker.
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| A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for many years. The man is now in the process of moving to a long-term care facility and a nurse is creating a plan of care. The nurse understands the potential a | show 🗑
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| A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequen | show 🗑
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| show | A. there is risk of an extremely high dose available all at once if the tablet is crushed
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| A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? | show 🗑
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| A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. | show 🗑
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| A 72-year-old man is taking Adderall XR for the treatment of narcolepsy. He is currently having problems with not being able to swallow large tablets or capsules. The man also wears dentures, which makes it even more difficult for him to swallow medicatio | show 🗑
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| Before the administration of morphine to a 65-year-old man who has cancer, the initial action of the nurse would be to check the patient's | show 🗑
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| show | B. Integrating the new drug into the patient's existing schedule promotes adherence
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| A nurse is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term? | show 🗑
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| show | C. Impaired Physical Mobility
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| A 77-year-old woman who is 5 feet 3 inches tall and weighs 89 lbs has been admitted to the hospital with a diagnosis of failure to thrive. What action should the nurse prioritize when addressing the woman's apparent lack of nutrition? | show 🗑
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| show | B. The importance of having required laboratory work performed on time
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| show | D. a decrease in the amount of creatinine to be filtered.
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| show | C. intranasal
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| show | A. a dose adjustment should be made if these symptoms persist
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| An elderly man has been admitted to a residential care facility and the nurse has conducted a medication reconciliation. The man has taken numerous drugs in the past, including a course of bicalutamide (Casodex) several years earlier. The nurse recognizes | show 🗑
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| A nurse is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following? | show 🗑
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| show | A. Place pills in a daily or weekly pillbox organized according to hours of the day or mealtimes.
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| A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has a history of mild hypertension. He explains that he | show 🗑
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| A nurse is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen? | show 🗑
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| show | D. understand the signs and symptoms of hypoglycemia.
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| show | C. potential adverse effects of the drugs that Mr. Nguyen will be taking.
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| A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to | show 🗑
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| A nurse is caring for a 92-year-old patient who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to | show 🗑
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| show | apply the patch to Mr. Lacuna's back to reduce the chance that he will remove it.
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| A nurse who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to | show 🗑
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| A community health nurse is performing a home visit to an elderly client who receives twice-weekly wound care. The client has mentioned that she has been having difficulty sleeping, a problem that she has not previously experienced. Which of the following | show 🗑
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| A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF). Her care provider has recently added spironolactone (Aldactone) to the wo | show 🗑
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| show | B. Increased risk for falls
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| show | D. withdraw the drug gradually over a 2 to 3 week period
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| A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? | show 🗑
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| show | B. The amount of meat and vegetables
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| A 72-year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 p.m. The nurse finds the patient drowsy and confused at 10 a.m. the next day. The nurse is aware that this behavior is most likely due to | show 🗑
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| show | B. Acute care unit
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| Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what effect on her use of nitroglycerin? | show 🗑
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| A 70-year-old woman with a history of atrial fibrillation has been admitted with a lower gastrointestinal bleed. During the nurse's admission assessment, the nurse realizes that the patient has been taking ginkgo biloba supplements in addition to her pres | show 🗑
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| An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make | show 🗑
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