Mary Marcino, 78 years old, lives alone and has been active as a volunteer at the local children's hospital. She was brought to the emergency department because she was confused at home and fell down a flight of stairs
After her initial physical examination, the health history revealed that she was taking a double dose of her diuretic and sleeping pills. Which of the following possibly caused Mrs. Marcino to make such a serious mistake in her medication regimen?
a. Decreased cognitive ability
b. Number of different medications and the complexity of the medication regimen
c. Generic labeling
d. Poor physical health
B
The number of medications and the complexity of the medication regimen have a direct correlation with increased adverse drug reactions and emergency department visits by older adults. Responses A, C, and D all are possible contributing factors to medication error, but they are not supported by the case presentation.
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New nursing graduates may assist in implementing change by:
A) Developing policies for staff evaluation and promotion B) Maintaining current status of client data C) Using procedures suggested by the hospital D) Ignoring quality improvement issues
A pregnant woman you care for tells you she often has allergic responses to drugs. She is concerned that she will be allergic to her fetus or her body will reject the pregnancy. You would base your reply to her on which of the following statements?
A) Immunologic activity is decreased during pregnancy. B) The level of aldosterone during pregnancy reduces production of IgG antibodies. C) The decreased corticosteroid activity during pregnancy ensures this will not happen. D) The kidneys release a hormone during pregnancy to prevent this from happening.
The OB-GYN nurse teaches a first-time pregnant patient that functions of the amniotic fluid include: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Allowing fetal freedom of movement. 2. Releasing heat to control fetal temperature. 3. Acting as an extension of fetal extracellular space. 4. Providing a water source for the fetus to swallow. 5. Acting as a wedge during labor.
Which parental statement regarding the use of cyclosporin A after a heart transplant indicate correct understanding of the information presented by the nurse?
1. "This medication is used to treat hypertension." 2. "This medication is used to reduce serum cholesterol level." 3. "This medication is used to prevent rejection." 4. "This medication is used to treat infections."