ATI HEALTH PROMOTION RN

1- A 58-year-old patient has an annual exam. A fecal occult blood test was used to screen for colon cancer. Three were ordered on separate days. The first test was positive; the last two were negative. How should the nurse practitioner proceed? Rescreen in one year. Perform a fourth exam. Refer him for a colonoscopy. Correct Examine him for hemorrhoids. Explanation: A fecal occult blood test is performed multiple times on different days because tumors don’t consistently excrete blood. The reason multiple are performed is to increase the likelihood of identifying blood. The patient needs to have a colonoscopy performed for examination of the colon. The standard of practice is to refer all positive colon cancer screens for colonoscopy. 2 -A criterion for medication choice in an older adult is: long half-life to prevent frequent dosing. dosing of 3-4 times daily. pill color and shape for easy identification. half-life less than 24 hours. Correct Explanation: Many factors go into prescribing for older adults. Some important safety criteria include established efficacy, low adverse event profile, and half-life less than 24 hours with no active metabolites. Active metabolites would produce a longer effect of the drug in the patient. Dosing of a medication three to four times daily invites dosing and medication errors. Once- or twice-daily dosing is ideal. Pill color and shape is never a criterion for prescribing. Patients who are cognitively able will recognize the color, shape, and size of pills they take on a regular basis. 3- What should the nurse practitioner recommend to any elder taking medications? Have someone check your medications prior to taking them Never take your medicine on an empty stomach Keep a list of all of your medications with you Correct Have a pharmacist review your list once a year Explanation: A list of current medications should be kept with each patient and carried with him, especially when healthcare visits are scheduled. Many older adults are capable of taking medications without supervision. Many medications should be taken without ...............................................CONTINUED