Remember when
Common medication adverse effects in elderly
What is Edema, nausea/vomiting, anorexia, dehydration, arrhythmias, fatigue, weakness, dizziness, urinary retention, diarrhea, constipation, orthostatic hypotension, confusion (Iggy pg 65)
Indication for a positive TB skin test
Greater than 10mm induration
What is an MDRO?
What is the significance of an MDRO
How do MDRO's develop
Multidrug resistant organism
Medications once useful for certain conditions, no longer control the infectious agent
Overuse, inappropriate use, not taken for ordered length of time, wrong route,
Do not take dairy products or give to young children
What are tetracyclines
Grandma is wearing a lot of orange and red clothes these days. What normal change of aging may be contributing to this fashion trend?
What is changes in color discrimination (blues, violets, greens less acute)
Medications most likely to be on the Beers list:
ibuprofen, morphine, donepezil, diazepam, lisinopril, amlodipine, diphenhydramine
What are ibuprofen, morphine, diazepam, diphenhydramine
Route of injection used for a TB skin test.
Angle the needle is held at.
What is intradermal
What is 15 degrees from skin
Nursing interventions to reduce the development of MDROs (list at least four)
Hand hygiene, chlorhexidine bathing, prompt removal of urinary catheters), antibiotic stewardship, following contact precautions, scrubbing ports of IV catheters
Achilles tendon rupture has been associated with this antibiotic class
Quinolones (ciprofloxacin)
Grandma is scheduled for cataract surgery tomorrow and you notice she has the sniffles and has been blowing her nose. What is the concern?
She may have an upper respiratory infection and following cataract surgery care must be taken to avoid increasing intraocular pressure through activities like blowing the nose, sneezing etc
A client hospitalized following surgical repair of a hip fracture has attempted to climb out of bed twice, has been incontinent of urine and is confused to place and situation.
What problem does the nurse suspect the client is experiencing?
What is delirium
True or false:
TB diagnosis is based on the TB skin test results
What is false
(What is diagnosis based on?)
Client with fractured tibia and complains the area feels numb and pressure distal to the fracture. The nurse assesses pallor of the limb. There is concern that what is happening
What is acute compartment syndrome
Used most commonly to treat UTIs
Side effects include:
Sulfamethoxazole-trimethoprim (Sulfonamides)
Allergy
Rash
Photosensitivity
List all nursing interventions applicable for a hearing impaired older adult
Utilize hearing aides
Face the client
Keep your hands away from your face
Use lower pitched voice
Reduce background noise
Use appropriate face/hand gestures and language
Get to the point - no unnecessary information
List four types of food that should be eaten by an older adult and the nutrients they provide.
Milk, ice-cream, cheese, yogurt = calcium
Strawberries, oranges tomatoes = Vit C
Raw fruits/veggies, whole grains, beans = fiber
Salmon, kale, bell peppers, carrots, spinach = eye health
Chicken, turkey, eggs, fish, nuts = protein
This medication may cause urine, sweat, saliva, tears to have a red-orange color
All TB medications can cause injury to this organ
What is rifampin
What is the liver
The nurse walks into the room of a client who had a THA two days ago. Which of the following is a concern?
Client trimming toenails
Client uses elevated toilet seat
Client has a four wheeled walker
Client keeps his legs adducted in bed
Client tying his shoes
What is
Client trimming toenails
Client keeps his legs adducted in bed
Client tying his shoes
If allergy exists to this class, another class may be prescribed with the same MOA
What are the two classes
What needs to be known before this is prescribed?
What is penicillin and cephalosporin
Ask the nature of the allergy (ie, anaphylactic reaction)
Eye medication that can turn the iris brown
What is it used for
Prostaglandin analogs (latanoprost)
Glaucoma
List 5 non-pharmacologic nursing interventions for a fall-risk client
List 2 nursing interventions considered to be a "last resort" for a fall-risk client
What are hourly rounds, call light, fall risk assessment tools, alarms, bed position, reduce clutter, assistive devices (walkers, gait belts, wheel chairs with functioning brakes)
What are physical restraints and chemical restraints
Monitor for peripheral neuropathy with this TB medication
Your client asks how long the treatment of TB is. What is your best response
Isoniazid
6-9 months (there is an approved shortened treatment plan of 4 months)
Client with RA has a "flare" with increased pain, redness, warmth and tenderness to the right wrist.
Class of medications used to relieve these acute symptoms
Side effects/nursing considerations important with this class
What are NSAIDs or steroids
NSAIDs: renal function, gastric mucosa, increased bleeding
Steroids: eyes, skin, bones, glucose regulation, immune response, weight gain
Gentamicin has been ordered. The classification of this med is what and what are key toxicities?
The proper dose is monitored and maintained how?
What is aminoglycoside
What are ototoxicity and nephrotoxicity
What are peaks and troughs
Grandpa has stopped reading his newspaper and checking his air gauge for his tires, stating "I just don't want to do that anymore."
What problem do you suspect?
Macular degeneration