The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

review the listed medications for possible interactions

explain to the patient the dangers of taking so many different medications

evaluate the patients understanding of why he is taking each medication

confirm with the physician that all the medications are required

Answer and Explanation

The Correct Answer is A

A.   When a patient is taking multiple medications, it's important to review them for potential interactions. Polypharmacy, the use of multiple medications, is common in older adults and can increase the risk of adverse drug reactions, side effects, and decreased effectiveness of medications.
B.   While it's important to educate the patient about the risks of polypharmacy, the nurse's initial priority should be to assess the medications for potential interactions.
C.   This is an important step in patient education, but it should be done after the nurse has reviewed the medications for potential interactions.
D.   While it's important to verify the appropriateness of each medication, the nurse's initial priority should be to assess for potential interactions.

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Correct Answer is A

Explanation

A. When a patient is required to sign official documents, such as medical consent forms or advance directives, it is crucial that they understand the implications of their decisions. An interpreter can ensure that the patient fully comprehends the information and can make informed choices about their care.
B. While an interpreter can be helpful for orientation, it is not as critical as when the patient is signing official documents.
C. An interpreter can facilitate communication between the patient and the physician, ensuring that the patient's concerns and questions are fully understood. However, this is not as critical as when the patient is making important decisions about their care.
D. While it is important to provide emotional support to a patient who is upset, an interpreter may not be necessary in this situation. The nurse can use nonverbal communication and other strategies to comfort the patient and address their emotional needs.

A. Patients mental status B. All pertinent nursing care C. Visitors the patient had during the shift D. Status of lung sounds E. The patients favorite TV shows

Correct Answer is ["A","B","D"]

Explanation

A. The patient's mental status is crucial for understanding their current cognitive and emotional condition. This information helps the incoming nurse assess whether there have been any changes or concerns regarding the patient's orientation, mood, or cognitive function.
B. Documenting all pertinent nursing care provides a comprehensive overview of what has been done for the patient during the shift, including any treatments, medications administered, and changes in the patient's condition.
C. While knowing who visited the patient might be relevant in some contexts, it is generally not a core component of clinical shift reports unless the visitors' presence impacted patient care or the patient’s condition. This information is usually not necessary for the shift report unless it directly affects the
patient’s care or treatment, such as if a visitor brought important information or had a significant impact on the patient.

D. The status of lung sounds is a specific aspect of the patient's physical assessment and can indicate respiratory issues or improvements. This data is necessary if the patient has a respiratory condition or if there have been recent changes in their respiratory status. It helps the incoming nurse evaluate the effectiveness of treatments and ongoing respiratory care.
E. Information about the patient's favorite TV shows is not relevant to clinical care and does not impact
the patient’s health status or the nursing interventions required. This information is not necessary for
the shift report as it does not contribute to the patient’s medical or care needs.

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The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse in an assisted living facility is preparing to admit an older adult patient who speaks very little English. The nurse decides that it is most Important that an Interpreter be present when the patient:

Correct Answer is A

Explanation

What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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