A nurse is preparing to teach a forgetful older adult patient about a multiple drug regimen to follow after discharge from the hospital. To help promote adherence, what will the nurse do?

Ask the patient to share the teaching with a neighbor or friend soon after discharge.

Give the patient detailed written information about each drug.

Cluster medication administration times as much as possible.

Make sure the patient understands the actions and side effects of each drug.

Answer and Explanation

The Correct Answer is C

A. Ask the patient to share the teaching with a neighbor or friend soon after discharge: While social support can reinforce learning, relying on a neighbor or friend may not guarantee medication adherence. This does not directly address the patient’s forgetfulness or simplify the regimen.

B. Give the patient detailed written information about each drug: Providing written information is helpful, but detailed instructions may overwhelm a forgetful older adult. Without strategies to simplify administration, written material alone is unlikely to ensure adherence.

C. Cluster medication administration times as much as possible: Simplifying the regimen by reducing the number of administration times makes it easier for a forgetful patient to follow. Fewer scheduled doses support adherence and reduce the risk of missed medications.

D. Make sure the patient understands the actions and side effects of each drug: Understanding medications is important, but a forgetful patient may struggle with recall. While teaching remains necessary, simplifying the schedule is more effective in promoting adherence.

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Correct Answer is C

Explanation

A. The right second intercostal space: This area corresponds to the aortic valve area, not the pulmonic valve area. Palpation here would assess for pulsations related to the aortic region rather than the pulmonic.

B. The left fifth intercostal space: This location is too low and corresponds more closely to the tricuspid area if near the sternum. It does not provide assessment data for the pulmonic valve.

C. The left second intercostal space: The pulmonic valve area is located at the left second intercostal space near the sternal border. This is the correct site for palpating unexpected pulsations associated with the pulmonic area.

D. The left fifth intercostal space at the midclavicular line: This area is where the apical impulse, or point of maximal impulse (PMI), is palpated. It reflects left ventricular activity, not the pulmonic valve.

A. B complex B. A (retinol) C. D D. K

Correct Answer is B

Explanation

A. B complex: The B vitamins are water-soluble and play roles in energy metabolism, nerve function, and red blood cell production. They are not directly linked to vision or night blindness.

B. A (retinol): Vitamin A is essential for the production of rhodopsin, a pigment in the retina that allows for vision in low-light conditions. Deficiency leads to night blindness and, if prolonged, can cause more severe eye damage such as xerophthalmia.

C. D: Vitamin D is important for calcium absorption and bone health. Deficiency results in rickets in children and osteomalacia in adults, but it does not cause difficulty with night vision.

D. K: Vitamin K plays a crucial role in blood clotting and bone health. Its deficiency leads to impaired coagulation and increased bleeding risk, not visual disturbances or night blindness.

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A nurse is preparing to teach a forgetful older adult patient about a multiple drug regimen to follow after discharge from the hospital. To help promote adherence, what will the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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