geri final exam

11. The horrified CNA runs to the nursing station and says, “Do you know what Mr. and Mrs. Smith are doing? They’re having sex right there in room 210!” What would be the best response of the nurse?

• Knock discreetly on the door and enter the room.

• 1. Call the charge nurse to report inappropriate sexual activity.

• 1. Request an order from the primary health care provider to allow intercourse.

• 1. Give the CNA a “Do Not Disturb” sign to put on the door of room 210.

7. The home health nurse would be most concerned about self-medicating errors for the older adult living alone who is a type 1 diabetic and is

• 1. afflicted with early Parkinson disease.

• 1. visually impaired.

• 1. a rheumatoid arthritic with stiffened hands.

• 1. paralyzed from the waist down

7. What is the most reliable method of patient identification for administration of medications?

• 1. A photograph of the patient

• 1. An identification bracelet

• 1. Asking the patient to repeat his or her name

• Use of the patient’s room number

11. What is a correct method of administering a transdermal medication patch?

• Apply the patch at the same site every day and carry out documentation.

• 2. Fold and dispose of the used patch in the sharps container.

• 2. Warm the patch in his or her hands before application.

• 2. Cover the patch with tape to prevent dislodgement.

13. When the medication nurse offers a pill to the older adult patient, the patient asks, “What is this and what is it for?” What is the best response by the nurse?

• 1. “I’m not at liberty to discuss your medication. You need to talk to your doctor.

• 1. “That’s a ‘feel good’ pill that will make you feel better.”

• 1. “It’s a cephalosporin that has been ordered to treat your URI.”

• 1. “It’s an antibiotic for the infection in your urine.”

13. What is a symptom of theophylline overdose?

• Tachycardia

• Confusion

• Hypotension

• Constipation

16. Which assessment finding in a 75-year-old man on a chlorpromazine protocol should be immediately reported to the physician?
    

• Cough

• Headache

• 0. Drool

• 0. Nausea

16. What site would be the best choice for an intramuscular injection to an emaciated 82-year-old patient?

• 1. Upper outer quadrant of the gluteus maximus

• 1. Gluteal

• 1. Deltoid

• 1. Ventrogluteal

16. What is the purpose of the Beers criteria?

• Identifies medications best avoided by the older adult.

• 2. Identifies diagnostic procedures that are considered inappropriate for a diagnosis.

• 2. Identifies penalties for extended-care facilities that allow administration of

     particular drugs.

• 2. Identifies assessments necessary before the prescription of particular drugs.

An older adult man has been diagnosed as having diminished depth perception. What does the nurse expect him to have difficulty with in his everyday activities?

• Judging the height of steps

• Reading small print on food labels

• Reading street signs

• Seeing in dim light