To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

assesses the patient for functional limitations

arranges for the needed UAP provided services

assumes the roles of case manager and patient advocate

evaluates the competency of the UAP staff

Answer and Explanation

The Correct Answer is D

A.   While assessing the patient's functional limitations is important for determining the appropriate level of care needed, it does not directly address the competency of the UAP staff.
B.   Arranging for UAP services is important, but it does not guarantee the quality of care provided. Evaluating the competency of the UAP staff is essential to ensure that the patient receives safe and effective care.
C.   While the nurse may play a role in case management and advocacy, it's important to ensure that the UAP staff is competent to provide the necessary care.
D.   To ensure the quality of care and safety of an older adult patient who requires in-home UAP assistance, it's crucial to evaluate the competency of the UAP staff. This involves assessing their skills, knowledge, and ability to provide safe and effective care.

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Correct Answer is D

Explanation

A. Reflex tone refers to the neurological response of the body to stimuli and is not directly related to the action or monitoring of anticoagulant therapy. While assessing reflexes might be important for overall patient health, it is not specifically relevant to monitoring the effects of warfarin. Reflex tone does not provide information on the anticoagulation status or risk of bleeding associated with warfarin therapy.
B. Checking the body for bruising helps assess the safety of warfarin therapy and may indicate the need for dosage adjustments or further investigation if bruising is excessive. However, while monitoring for bruising is essential, it is not the primary method for assessing the effectiveness and safety of anticoagulant therapy.
C. While monitoring kidney function is relevant for overall medication management, it is not the primary focus for directly assessing the effectiveness or safety of warfarin therapy. Kidney function is more related to adjusting doses and avoiding potential complications.
D. Regularly reviewing PT is crucial for managing warfarin therapy because it directly reflects the anticoagulation effect of the medication. The International Normalized Ratio (INR), derived from PT, is used to ensure the patient is within the therapeutic range for effective anticoagulation while minimizing the risk of bleeding.

A. 2.5 mL B. 2 mL C. 4 mL D. 0.6 mL

Correct Answer is A

Explanation

Amount of gentamycin sulfate to administer= (desired dose ÷ available dose) × available quantity. In this case,

The desired dose is 100 mg, and the available dose is 60 mg in 1.5 mL.

Using the formula, the calculation would be: (100 mg ÷ 60 mg) × 1.5 mL = 2.5 mL.

Therefore, the nurse should prepare 2.5 mL of gentamycin sulfate to administer to the patient.

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To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

The nurse receives an order to administer 100 mg of gentamycin sulfate to a patient as an IM injection. The nurse has on hand gentamycin sulfate 60 mg/1.5 mL. How many mls should the nurse prepare to administer to the patient?

Correct Answer is A

Explanation

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