Imora

Ambulation with Gate Belt - ANSWER-- lock bed - lock wheel chair Ambulation with Walker - ANSWER-- lock bed - lock wheel chair Feeding the Dependent Resident - ANSWER-- position resident at least 45 degrees Mouth Care-Brushing Teeth - ANSWER-- Brush inner, outer, and chewing surfaces Mouth Care of Comatose Resident - ANSWER-- Positions resident upright Making Occupied Bed - ANSWER-- Raise side rail on opposite side (both times) Making Unoccupied Bed - ANSWER-- Don't put cl...

CH 1 Which of the following is a core value associated with culture change? (A) Doing everything for the residents (B) Treating all residents the same way (C) Promoting self-determination and personal choice (D) Making sure all residents participate in the same activities - ANSWER-(C) Promoting self-determination and personal choice CH 1 Which member of the care team diagnoses disease and prescribes treatment? (A) Nursing Assistant (NA) (B) Medical social worker (MSW) (C) Physician (...

metabolism and older adults - ANSWER-decreased hepatic metabolism r/t blood flow, less liver mass, and decreased activity of hepatic enzymes. This leads to an increased half life of drugs. excretion and older adults - ANSWER-there is a reduction in renal excretion, leads to decreased ability to conserve sodium and concentrate urine promoting adherence in older adults - ANSWER-encourage use of pill boxes, family support, written schedule, keep in visible place where routine is consistent, j...

A nurse reviewing a clients medical record notes a new prescription for verifying the trough level of the medication. Which of the following actions should the nurse take? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication, and obtain a blood ...

Celecoxib - ANSWER-NSAIDs, COX-2 inhibitor Therapeutic Effects: Analgesic, anti- inflammatory, & anti- pyretic A/R: GI BLEEDING, dermal rash, GI effects Assess pain, ROM and swelling. Do not give if allergic to sulfonamides, aspirin or NSAIDs. Watch for tarry stools. Losartan - ANSWER-Classification: Angiotensin II receptor blocker Therapeutic Effects: Antihypertensive. Decreases risk of stroke. A/R & S/E: Orthostatic hypotension, diarrhea. Dizziness, ANGIOEDEMA. Use cautiously ...

A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include? - ANSWER-Avoid taking non steroidal anti-inflammatory drugs Gastric protective measures are essential for clients who are taking oral glucocorticoids. Anti-inflammatory drugs can cause GI bleeding, so clients should not take them concurrently with prednisone. Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the foll...

Kidney dysfunction can lead to what? What is important to monitor? - ANSWER-It can lead to an increase in the duration and intensity of a medications response, so it is important to monitor BUM and creatinine levels. Therapeutic index (TI) - ANSWER-High level: have a wide safety margin so there is no need for routine serum medication-level monitoring. Low: Require close monitoring of the serum medication levels. Half-life - ANSWER-Liver and Kidney function affect Half-life. It usual...

What is the term for a medication that is injected into a vein, subcutaneous tissue, or muscle tissue? - ANSWER-Parenteral. What is the term for a medication applied directly to the skin? - ANSWER-Topical or transdermal. What is the term for the time it takes a medication in the body to decrease in amount by half? - ANSWER-Half-life. What is the term for the amount of time it takes a medication to demonstrate a therapeutic response? - ANSWER-Onset of action. What is the term for the ...

A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (select all that apply) A. Maintain skill competency B. Determine the dosage C. Monitor for adverse effects D. Safeguard medications E. Identify the client's diagnosis - ANSWER-A C D A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every day. The nurse should identify this as which of the foll...

a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point? - ANSWER-you should report a rash to your provider (fatal disorder Stevens-Johnson syndrome) a nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression, what is the priority instruction? - ANSWER-move slowly when standing from a lying down position (r/f orthostatic hypotension) a nurse is reviewing the medi...

New prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this medication? - ANSWER-Headache New prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following medications is prescribed to treat hyper cholesterolemia? - ANSWER-Simvastatin New prescription for losartan to treat hypertension. The nurse should instruct the client that which of the fol...

CCB,/calcium channel blockers - ANSWER-Nifedipine/Adalat/Procardia/Norvasc-controls blood vessels Diltiazem/Cardizem Verapamil/Calan/Isoptin/Verelan-controls heart rate and blood vessels Angina/Raynaud's/Vasospastic Angina/Atrial Arrhythmia's Blocks calcium channels in the myocardial and vascular smooth muscles, decreases the contraction of smooth muscle-relaxes the arteries-vasodilation. Blocking of calcium channels in the SA and AV node-Slows conduction through the SA and AV no...

E. When the same pathway metabolizes two medications, they compete for metabolism, thereby increasing the concentration of one or both medications. This requires decreasing the dosage of one or both medications. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A.have the client lie on her side. B.Ask the client to look up at the ceiling. C.Tell the client to blink when the drops enter her ...

Naproxen is an NSAID that is contraindicated for clients who have peptic ulcer disease because it can reduce platelet aggregation and increase the risk of gastrointestinal irritation and hemorrhage. Aspirin is an NSAID that is contraindicated for clients who have peptic ulcer disease because it can reduce platelet aggregation and increase the risk of gastrointestinal irritation and hemorrhage. Nurse is preparing to administer heparin 8,000 units subq q8h. Available is heparin 10,000 units/ml...

Nystatin - ANSWER-should be applied topically to the area affected with candidiasis, usually four times daily. Adults and older children can swish the nystatin suspension around in their mouth for a period of time and then swallow it. Since infants and very young children cannot follow these directions, the medication should be applied orally using a swab. Prothrombin Time (PT) - ANSWER-used to monitor warfarin therapy NPH insulin - ANSWER-peak: 4-14hrs duration: tobramycin - ANSWER-3...

Primary care providers prescribe drug dosages for children using which of the following information? (Select all that apply) A. Body surface area B. Age C. Weight D. Drug properties E. Developmental level - ANSWER-A, B, C, D An older adult patient may be at risk for drug toxicity due to which of the following physiologic changes associated with aging? A. reduced hepatic blood flow B. increased glomerular filtration rate C. reduced body fat D. increased gastric mobility - ANSWER-...

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? A. Constipation B. Drowsiness C. Facial flushing D. Itching - ANSWER-Answer: A A. Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing w...

a nurse is caring for a client who arrived at an emergency department following a bee sting. which of the following findings indicates an anaphylactic reaction? - ANSWER-- low blood pressure - wheezing - difficulty swallowing a nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the clients ability to learn? - ANSWER-- impaired cognitive level - language barrier - discomfort - un...

A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? a. Insomnia b. Hypotension c. Bleeding d. Constipation - ANSWER-c. Bleeding A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as contraindication to ceftriaxone? a. Gentamicin b. Clindamycin c. Piperacillin d. Sulfamethoxazole-...

A nurse is teaching a client about naproxen enteric-coated tablets. What should the nurse include in the teaching? 1) absorption occurs in the stomach 2) expect immediate absorption 3) allow the tablet to dissolve in the mouth 4) don't crush or chew the tablet - ANSWER-4 A nurse can identify the generic name for a drug in which of the following ways? 1) begins with a lower-case letter 2) listed in parentheses with the trade name 3) both letters and numbers in the name 4) chemic...