Exam 8: Safe Medication Use

A patient receives heparin daily.The nurse should assess for which clinical response that indicates the need to discontinue heparin therapy?

An older woman who takes escitalopram (Lexapro)10 mg by mouth daily states she does not feel better after 1 week of treatment.Rank the interventions in order,starting with the first intervention the nurse should implement to facilitate patient compliance with therapy.

The nurse prepares to administer vancomycin (Vancocin)to an older adult.Which laboratory test should the nurse review before administering this medication?

Which process is increased in the early morning?

An older man is taking chlorpromazine (Thorazine),and the nurse helps him choose menu items.To prevent an exacerbation of potential adverse effects of therapy,which menu item does the nurse instruct the man to avoid?

Which interaction between each prescription and food or nutritional supplement is favorable?

Which medication is correctly matched to the condition given of an older adult patient according to current medical knowledge?

A geriatric nurse practitioner prescribes an antidepressant for a patient.The patient asks,"How long will I have to be on this medication before I feel like my old self?" The nurse recalls that a therapeutic response to an antidepressant medication most often takes which one of the following?

The nurse provides instruction about medication safety to older adults.Which instruction should the nurse provide?

When completing medication reconciliation for an older woman,the nurse notes that the patient is being discharged home on anticoagulant therapy.The nurse also notes that at admission,the patient reported that she uses herbal supplements at home.Which instruction should the nurse include during discharge teaching?

Which herbal supplement(s)when taken with an anticoagulant increases the effectiveness of the medication and should be avoided during anticoagulant therapy?

A health care provider has ordered alendronate (Fosamax)for an older adult who has been admitted for a hip fracture.Which is the best response from the nurse when educating the patient on the new medication?

In questioning an older adult,which question is likely to elicit the most accurate information about the individual's adherence to the medication plan?

An older man is taking aripiprazole (Abilify)for agitation.Which patient assessment is the nurse's priority to prevent catastrophic effects of the medication?

Which pharmacokinetic parameter is affected most by decreased intestinal motility related to the aging process?

Through which pathway(s)are drugs and their metabolites eliminated?

Which of the following is on the list of drugs considered suitable for the older adult?

The nurse prepares to administer diltiazem (Cardizem LA)to an older adult with ischemic heart disease.When is the optimal time to administer this medication to help prevent complications of heart disease associated with rhythmical variations?