Exam 20: Pharmacologic Management

A patient with diabetes and hypothyroidism is being admitted to an assisted living facility.During the admission assessment,the patient reports difficulty falling asleep.The nurse shows an understanding of sleep dysfunction and the older patient when asking:

The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when:

The nurse is caring for an older adult who reports severe chronic pain.To best assess age-related physiologic changes that could influence plans for initiating an appropriate drug regimen,the nurse prepares the patient for which laboratory evaluation?

When administering medications to older adults,the nurse shows an understanding of the effect of aging on drug distribution by monitoring the patient's:

The nurse must be able to distinguish between alcohol intoxication and alcohol withdrawal to intervene appropriately.The nurse suspects alcohol intoxication when the patient does which of the following? (Select all that apply. )

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a daily over-the-counter laxative.The most appropriate response by the nurse is to:

The nurse shows an understanding of medication-related risk factors common to older adults when asking:

An older adult patient has been prescribed warfarin (coumadin).The nurse's primary intervention involves daily review of the patient's:

The nurse explains to ancillary staff that caffeine abuse is difficult to diagnose in the older adult patient because caffeine intoxication symptoms:

A 69-year-old was prescribed a benzodiazepine 3 years ago.This medication regimen increases the patient's risk for injury related to drug abuse and requires frequent patient assessment for which of the following? (Select all that apply. )

An older adult diabetic patient is mildly hypertensive.The nurse prepares to educate the patient regarding angiotensin II-blocking agents.These drugs are especially useful in older adults because they:

When initially planning care for the older adult patient who is prescribed clonidine patches as part of a smoking cessation program,the nurse:

A patient is receiving propranolol (Inderal)for hypertension.Which outcome is the best indicator of goal success when considering the drug's potential effect on the patient's quality of life?

When working with a patient suspected of substance abuse,the nurse is particularly interested in determining the cause of a patient's:

To minimize the possible complications of polypharmacy among older adult patients,the nurse assesses this population for which of the following? (Select all that apply. )

The nurse is assessing patients for impending alcohol withdrawal.The nurse assesses the patient with which of the following conditions as a priority?

A 68-year-old man with a history of alcohol abuse is admitted to the acute care facility for reports of abdominal pain.Based on your understanding of alcohol withdrawal,the nurse knows that if patient is currently abusing alcohol,he will most likely:

An older adult patient is being assessed for possible alcohol abuse.To best assess the patient's risk potential,the nurse asks:

An older adult patient is having difficulty remembering when to take several of the prescribed medications.To improve the patient's compliance with the medication regimen,the nurse:

An older adult patient is currently undergoing detoxification for alcohol at a rehabilitation center.When assessing the patient using the Clinical Institute Withdrawal Assessment tool,the nurse determines the patient's current score to be 23.The nurse: