Nokea
The home health nurse is caring for a 77-year-old patient with congestive heart failure. What would the nurse consider a priority to assess to develop the most effective plan of care related to medication administration?
- A. Description of the patient's living environment
- B. Required lifestyle changes
- C. Family members in the community
- D. Compliance with therapy to reduce risk of skin breakdown
Correct Answer: A
Rationale: Living environment affects medication storage, access, and administration, critical for an elderly patient with CHF.
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A 70-year-old patient has just received a drug, which can cause sedation. What would be the priority nursing diagnosis for this patient?
- A. Noncompliance: Cost of the drug
- B. Deficient knowledge: Unfamiliar with drug therapy
- C. Risk for injury: Related to adverse effects of the drug
- D. Ineffective health maintenance: Need for medication
Correct Answer: C
Rationale: Sedation increases the risk of falls or injury, making 'Risk for injury' the priority nursing diagnosis for a 70-year-old patient, given age-related vulnerabilities.
Which of the following drugs has been shown to restore corticosteroid responsiveness for Bronchial Asthma:
- A. Salbutamol
- B. Sodium cromoglycate
- C. Zifirlukast
- D. Montelukast
Correct Answer: D
Rationale: Montelukast, a leukotriene inhibitor, enhances corticosteroid efficacy in asthma.
Brands of pancreatic enzyme replacement drugs are:
- A. Bioequivalent
- B. About the same in cost per unit of lipase across brands
- C. Able to be interchanged between generic and brand-name products to reduce cost
- D. None of the above
Correct Answer: D
Rationale: Pancreatic enzymes vary in potency and aren't bioequivalent or interchangeable ; cost differs .
A patient with a new onset of systolic ejection murmur should be assessed for which nutritional deficiency?
- A. Vitamin B12
- B. Vitamin C
- C. Folate
- D. Niacin
Correct Answer: A
Rationale: Vitamin B12 deficiency can lead to anemia, potentially causing a systolic murmur.
Drug errors are most likely to occur at which time? Select one that does not that apply.
- A. When transcribing the drug order
- B. When verifying the client
- C. When dispensing the drug
- D. When the drug is administered
Correct Answer: B
Rationale: Drug errors may occur in transcribing drug orders, when the drug is dispensed, or in administration of the drug. Nurses, as the drug administrators, serve as the last defense against drug errors. Verifying the client and charting after administration are two important areas to help prevent medication errors.