ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 32 : Care of Elderly Patients Questions
Question 1 of 5
Many older patients experience a decline in renal function as they age. What effect does renal decline have on medications?
Correct Answer: B
Rationale: Reduced renal function impairs drug excretion, leading to accumulation in the blood, which can cause toxicity or prolonged effects.
Question 2 of 5
Anticoagulant drugs (sometimes called 'blood thinners') are broken down (metabolized) in the liver. Which of the following might be an outcome if a patient has undiagnosed liver disease but is started on anticoagulants?
Correct Answer: A
Rationale: Undiagnosed liver disease impairs anticoagulant metabolism, leading to drug accumulation and increased bleeding risk due to prolonged effects.
Question 3 of 5
You are a home health nurse and one of your patients, Mrs. Cortes, has age-related macular degeneration and recently diagnosed type 2 diabetes. She speaks only a little English, and you cannot ascertain whether or not she knows how to take her medications because you do not speak Spanish. Which of the following represents the best intervention for addressing her educational need?
Correct Answer: C
Rationale: Using a translator ensures clear communication for education, while a pill dispenser provides immediate medication management, addressing both short-term and long-term needs.
Question 4 of 5
Which of the following are teaching points to discuss with each patient regarding his or her medications?
Correct Answer: A,B,C,D
Rationale: All listed points are essential for patient education to ensure safe and effective medication use, covering purpose, safety, storage, and administration.
Question 5 of 5
A resident who needs 24-hour nursing supervision and care for IV therapy and wound care would be placed in which of these living situations?
Correct Answer: A
Rationale: Skilled care provides 24-hour nursing supervision for complex medical needs like IV therapy and wound care, unlike other options.