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One aspect of pharmacologic safety involves administering theproper medication. Two psychotherapeutic medications can beconfused: bupropion & buspirone. Discuss each, as well asmethods to prevent confusing them.

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Reid Wolff
Reid WolffLv2
28 Sep 2019

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“Hello, I am Lillian Tudor, and I was married to my high school sweetheart, Earl, for 53 wonderful years. He died 2 years ago and I miss him to this day. Earl and I had three children, two of whom passed before Earl. Our oldest daughter, Leigh, is still helping me around the house and is a blessing to me in my old age. Let me tell you something. Getting old ain’t for sissies! I’m 84 years old as of last month. Leigh had the family meet at a buffet restaurant in town for a surprise party! It was nice to see the grandkids, because they don’t stop by often enough with their busy lives. Lynn, the oldest, has a great husband and two kids with more energy than what seems humanly possible. Leigh complains that they are too loud, but I think everyone else talks too softly these days! In fact, when Leigh comes over to take me to the doctor, she’s always telling me my television is too loud. “I have a lot of doctors who I see. There’s one for my heart and blood pressure who says my cholesterol is too high and wants me to start a new medicine. Another one is for the diabetes, which makes me use those stupid syringes to take insulin. And the last one is for trying to help me with my stiff knees and sore joints. Like I said, getting old ain’t for a sissy! Did I mention the adult briefs I wear to help with my bladder leakage? It’s those dang water pills that I take to keep my feet from swelling so badly. All in all, it’s not a bad life.” In addition to what Lillian has told you, here is a list of her current medications. Captopril 25 mg, three times a day Alprazolam (Xanax) 0.5 mg, by mouth as needed for anxiety Insulin lispro (Humalog) 7 units subcutaneous TID, 15 minutes before meals Tramadol for arthritis pain Furosemide 40 mg, twice per day Ciprofloxacin 250 mg every 12 hours Pilocarpine eye drops, two drops each eye, four times a day Lasix 60 mg, once per day in the morning Select one medication and answer the following questions. If this was a medication order, do you have enough information to safely administer the medication? Please explain your answer and provide the missing information, if any. What is the medication’s classification? Does it have any special considerations about which the nurse should be aware? Why is Lillian taking this medication? If you are unsure based on the information you’ve been given thus far, list common reasons for this medication to be given. Does this medication present any possible adverse interactions with the other medications Lillian is taking? For your first post this week, select one medication and answer all four questions from above.

In this module we have learned about the adaptive immune response. This systems used a special class of white blood cells known as lymphocytes to attack specific target antigens that the body has seen in the past. This involves B-cells, T-helper cells and T-killer cells. It is these pathways that are disrupted in AIDS.

For this discussion, choose one example of adaptive immunity to focus on. Choose one aspect that was particularly interesting to you. Do some research to find out a little more about it. Here is a list of examples, but you can think of other ones as well: the primary immune response (3 paragraphs in own words )

22. What is the primary reason for having the older adult bring all medications with every office visit, including prescription and nonprescription medicines,vitamins, and herbal supplements?

A. So the health provider can determine if the older adult know the names of the medication.

B. So the health provider can reduce potential polypharmacy in the older adult.

C. So the health provider can ensure the older adult takes prescribed medications

D. So the health provider can assess the older adults lifestyle

23. Which medications should the nurse cautiously review from the Beer's List of medications when documenting the patient's drug profile ?

A. Diuretics

B. Inotropic drugs

C. Benzodiazepines

D. Cyclosporines

24. Which statement is true regarding the use of interdisciplinary team?

A. They enhance primary care visitation.

B. They bring better quality services for clients.

C. They meet the centers for Medicare and Medicaid services guidelines.

D. They expedite nursing care services

26. What should be the nurse's primary consideration while allowing for patient autonomy and reducing risk when dealing with end of life care ?

A.stage of illness

B. Cognitive impairment

C. Weight

D. Age

27. Whicn statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use ?

A. Alternatively to physical restraints are unavailable

B. Inadequate staffing causes the need for physical restraint use.

C. Failure to restrain puts individuals at risk for legal liability

D. Risk of falls exists when restraints are used.

28. A 66 year- old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly.

Which barrier to physical activity is least common for the elderly?

A. Finding safe area to walk

B. Swelling of ankles

C. Having pain from arthritis

D. Experience fatigue

29. An 81-year-old patient is a new resident in Hill Side Nursing Home. Upon admission the patient had a Braden score of 17.

Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers?

A. The primary risk factor is immobility.

B. The primary risk factor is a BMI < 24

C. The primary risk factor is polypharmacy

D. The primary risk factor is malnutrition

30. Harriett is a 92-year-old who lives in assisted living; she recently fell and broke her hip. Harriet and her family would like to keep Harriet safe and at the highest level of independence on her return to her accommodations from the hospital.

Which action should the nurse take to help Harriet and her family ?

A. Counsel about home safely assessments

B. Tell Harriet to become active in the local Tai Chi program

C. Discuss the rate of unintentional injuries for older aldults

D. Have Harriet and her family request a daily room check by staff

31. Sharron is a 90- year-old female who lived in Asia for most of her life and is a nonnative English speaker. She recently had emergency gallbladder surgery.

Which nursing action would be best to do before discharging Sharron back to her accommodations?

A. Explore her use of alternative medicines

B. Explore English as a second language lessons

C. Explore aromatherapy for relaxation purposes

D. Explore counciling for depression options.

32. Agnes is a 77 year old who lost her husband last year and has congestive heart failure. She has a move in with her son Alex. She has been brought to the ER by Alex who says she is short of breath. He doesn't know how long she has been in the state, nor does he know the medication she should be on.

What is the nursing priority?

A. Admit and stabilize the patient

B. Call Agne's daughter

C. Contact social services

D. Ask the son if he is overwhelmed

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