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

assessing the patient for a history of drug-related allergies

educating patients about the purpose and side efforts of their medications

confirming the patients identity prior to providing the medication

implementing the 5 rights of medication administration routinely

Answer and Explanation

The Correct Answer is D

A.   Knowing a patient’s history of drug allergies is essential for preventing allergic reactions to medications. Allergic reactions can be severe and include symptoms such as rash, difficulty breathing, or anaphylaxis. While important, assessing for drug allergies alone does not address all aspects of medication safety, such as correct drug administration, dosage, or monitoring for side effects.
B.   Educating patients about their medications helps them understand why they are taking them and what side effects to watch for. This can improve adherence to the medication regimen and enable patients to report side effects promptly. Education is important but does not directly prevent medication errors or ensure that medications are administered correctly.
C.   Confirming the patient's identity before administering medication is a fundamental safety measure. It helps prevent medication errors, such as administering the wrong medication to the wrong patient. This action alone does not address other aspects of medication administration, such as verifying correct dosage, the timing of administration, or monitoring for adverse effects.
D.   The 5 rights of medication administration—right patient, right drug, right dose, right route, and right time—are fundamental principles of safe medication administration. Adhering to these rights helps prevent medication errors and ensures that medications are administered correctly. By consistently applying these principles, the nurse minimizes the risk of errors and enhances patient safety. This approach covers multiple aspects of medication administration, including verifying the correct patient, drug, dose, route, and timing.

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

Explanation

A. Older women are statistically more likely to live in poverty compared to older men. This is often due to a combination of factors including lower lifetime earnings, career interruptions for caregiving, and less access to pension benefits.
B. Older women are indeed more likely to suffer from multiple chronic diseases such as hypertension, diabetes, and arthritis. Chronic conditions are common in this age group and can significantly impact quality of life. Community programming should include education and resources related to managing chronic diseases, as well as access to preventive care and support services.
C. Older women are more likely to live alone compared to older men. This may be due to longer life expectancy and higher rates of widowhood among women. Programs should address the needs of those living alone, such as social support, community engagement opportunities, and services that mitigate isolation, like social activities or check-in services.
D. Many older women are caregivers for their spouses or other family members. This caregiving role can be physically and emotionally demanding. Community programs should offer support for caregivers, including respite care, counseling services, and caregiver education to help manage stress and prevent burnout.
E. While this can occur, older women are less likely to live with extended families compared to living alone. Living arrangements vary widely, and while some older women may live with extended families, it is not as prevalent as living alone. Community programming should be adaptable to different living situations but may focus more on the needs of those living alone or as caregivers.

A. "How do you feel about leaving your home to live here?" B. "Are you taking medication for your thyroid problem?" C. "Have you ever been prescribed a sleeping medication?" D. "How long have you been a diabetic?"

Correct Answer is C

Explanation

A. This question addresses the emotional and psychological impact of relocating to an assisted living facility. Emotional stress and adjustment issues can affect sleep patterns. While important for understanding the patient's emotional state and potential stressors, this question may not directly address the specific physiological or medical causes of sleep difficulties.
B. This question focuses on the management of hypothyroidism, which can influence sleep patterns. Hypothyroidism and its treatment can affect energy levels and sleep quality. Medications for hypothyroidism could impact sleep if they are not well managed or if the dosage needs adjustment. However, this question alone might not cover other potential causes of sleep difficulties.
C. This question aims to identify if the patient has a history of using sleeping medications, which can help in understanding their sleep patterns and possible reliance on such treatments. Knowing whether the patient has used sleeping medications can provide insight into their current sleep issues and help the nurse assess if previous treatments have been effective or if adjustments are needed. This question is directly related to assessing and addressing sleep difficulties.
D. This question gathers information about the duration of diabetes, which can help in understanding the patient’s overall management of the condition. While the duration of diabetes is important for overall health management, it does not directly address the sleep issues the patient is experiencing. Diabetes can affect sleep, but this question does not specifically target the sleep problem.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The gerontologic nurse plans community programming for older women, noting what facts about this population subgroup? (Select all that apply)

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

Explanation

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:

Correct Answer is C

Explanation

A nurse working in the emergency department is seeing an older patient who does not speak English well. The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.)

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