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nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. Which of the following actions should the nurse take first?
a. Compare the current medication list with new prescriptions
b. Ask the client about over-the-counter medications
c. Notify the provider of any discrepancies
d. Document the medication list in the medical record
✔️ Correct Answer: B
,Rationale:
The nurse should apply the nursing process priority-setting framework, beginning with
assessment or data collection. When performing medication reconciliation, it is
important that the nurse collect a list of all the medications the client takes, including
prescriptions, over-the-counter medications, and herbal and nutritional supplements.
Option A is incorrect because comparison occurs after data collection. Option C is
incorrect because notification occurs after assessment and comparison. Option D is
incorrect because documentation occurs after data collection.
A nurse is caring for an older adult client who has a terminal illness. The client tells the
nurse, "I just want to live one more month so I can see my grandchild get married."
Which of the following Kubler-Ross stages of grief should the nurse identify the client is
experiencing?
a. Denial
b. Anger
c. Bargaining
d. Acceptance
✔️ Correct Answer: C
Rationale:
Bargaining is the third stage of grief according to Kubler-Ross. Bargaining represents a
last effort at overcoming death by earning longer life. Trying to put off death for one
last major celebration in the client's life, like the marriage of a grandchild, is a form of
,bargaining. Option A is incorrect because denial involves refusing to accept the
diagnosis. Option B is incorrect because anger involves resentment and frustration.
Option D is incorrect because acceptance involves coming to terms with the situation.
A nurse is reinforcing teaching with an older adult client about methods to improve
sleep. Which of the following statements should the nurse include in the teaching?
a. "Take a nap during the day if you feel tired."
b. "Go to bed at the same time every night."
c. "Watch television in bed to help you relax."
d. "Exercise vigorously right before bedtime."
✔️ Correct Answer: B
Rationale:
The nurse should recommend that the client keep consistent sleep and wake times even
on the weekends. Having a regular sleep schedule helps minimize alterations to the
circadian rhythm that occurs in the older adult client. Option A is incorrect because
daytime naps can disrupt nighttime sleep. Option C is incorrect because television can
interfere with sleep. Option D is incorrect because vigorous exercise before bedtime can
interfere with sleep.
, A nurse is caring for an older adult client who is unresponsive following a stroke. Which
of the following actions should the nurse take while providing mouth care?
a. Position the client supine before starting oral care
b. Turn the client to the side before starting oral care
c. Use a toothbrush with hard bristles
d. Apply petroleum jelly to the lips before care
✔️ Correct Answer: B
Rationale:
The nurse should place the client in a lateral position to allow excess fluids to run out of
the mouth into a basin, which reduces the risk of aspiration of fluids and secretions.
Option A is incorrect because the supine position increases aspiration risk. Option C is
incorrect because soft bristles should be used. Option D is incorrect because petroleum
jelly should be applied after, not before, care.
A nurse is reinforcing teaching about skin changes in the older adult client with a newly
licensed nurse. Which of the following findings should the nurse identify as a benign,
age-related change commonly seen in older adult clients?
a. Actinic keratosis
b. Liver spots
c. Malignant melanoma
d. Basal cell carcinoma