NCLEX PN 209_NURSING PN1 FINAL EXAM QUESTIONS and ANSWERS

PN1 Practice Questions for Final 1. Which dietary adjustments does the nurse recommend to an older adult client asking what changes she should institute to prevent or manage constipation? • Include plenty of fiber Rationale: Older adults are prone to constipation. To manage or prevent constipation, teach the older client to drink eight glasses of water daily and to take in plenty of fiber. These guidelines are good for other clients as well. The other suggestions will not prevent or help manage constipation 2. The strategy to avoid medication errors endorsed by the Institute for Safe Medication Practices (ISMP) to differentiate products with lookalike names is referred to as Tallman Letting Rationale: Tallman lettering is a term coined by ISMP to describe the practice of using unique letter characteristics of similar drug names known to have been confused with one another. Tallman lettering is used to differentiate products with look-alike names such as BenaDRYL (antihistamine) and BenaZEPRIL (ace inhibitor). The other options are examples of safety-enhancing technologies strategies designed to minimize drug errors, but they are not directed at look-alike medications 3. A home care nurse receives a physician order for a medication that the patient does not want to take because the patient has a history of side effects from this medication. The nurse carefully listens to the patient, considers it in light of the patient's condition, questions its appropriateness, and examines alternative treatments. This nurse would most likely