The older adult’s risk for medication-related problems is associated with the body’s decline to effectively (select all that apply):
absorb drugs
metabolize drugs
swallow drugs
distribute drugs
excrete drugs.
absorb drugs
metabolize drugs
distribute drugs
excrete drugs.
When reviewing and assessing the medications of the older adult, the home health nurse should consider (select all that apply):
use of over-the-counter medications
only the prescribed medications
any herbal supplements.
drug-to-drug interactions.
the most recently ordered medications.
use of over-the-counter medications
any herbal supplements.
drug-to-drug interactions.
The Beers list identifies ?
potentially inappropriate medications (PIMs) that should be avoided or used with caution in the older adult. The Beers list is not a catalog of discontinued drugs or a list of drug names that may be confused with other drugs that have similar names. It does not mean the drug is only to be use by older adults.
Warfarin interacts?
many other drugs, natural products, and foods. Many natural products increase the anticoagulant effect of warfarin. St. John’s wort decreases the anticoagulant effect of the drug. Patients should be instructed to avoid foods with high vitamin K (such as broccoli, kale, and spinach), not high potassium.
The vigilant process is
a three-step system that helps address factors associated with medication use in the older adult. Step one is gathering information about the drug, with a focus on the older adult. Step two is correlating data, including assessing, monitoring, and evaluating for desired and undesired effects of the drug. Step three is teaching relevant drug information to the older adult and family. Comparing drug indications against similar medications and scheduling follow-up are not part of the vigilant process.
When teaching an older adult patient about their medications, the nurse should include information regarding (select all that apply):
medications the patient may be prescribed in the future.
the patient’s drug therapy and its relationship to the disease process.
medications the patient may take in place of those prescribed.
safety considerations related to potential drug effects.
interactions with drugs, foods, and other natural products
the patient’s drug therapy and its relationship to the disease process.
safety considerations related to potential drug effects.
interactions with drugs, foods, and other natural products
In administering an IM injection to a newborn infant, the nurse is correct to select which injection site?
Vastus lateralis muscle-( thigh muscle)This is the preferred site for IM injections in infants under 12 months
When administering IV fluid to a pediatric patient, which of the following safety precautions would the nurse take? Select all that apply.
Using safety equipment to minimize accidental over infusion of IV fluid
Considering muscle mass differences in the pediatric patient
Using daily weight
Administering IV fluids at lower infusion rates (mL/hr)
Administering IV fluids at higher infusion rates (mL/hr)
Using safety equipment to minimize accidental over infusion of IV fluid
Using daily weight
Administering IV fluids at lower infusion rates (mL/hr)