An advance directive gives valid direction to health care ...

[D2AR0N]

An advance directive gives valid direction to health care providers when a patient is:
 
  a. aggressive
  b. dehydrated
  c. unable to verbally communicate
  d. unable to make decisions for him- or herself

Question 2

An older adult patient brings a bag of medication to the clinic. The nurse finds one bottle labeled Ativan and one labeled lorazepam, and both are labeled Take two times daily.
 
  Bottles of hydrochlorothiazide, Inderal, and rofecoxib, each labeled Take one daily, are also included. Which conclusion is accurate?
 
  a. Rofecoxib should not be taken with Ativan.
  b. The patient's blood pressure is likely to be very high.
  c. This patient should not self-administer any medication.
  d. Lorazepam and Ativan are the same drug; consequently, the dose is excessive.

[chinwesucks]

Answer to Question 1

ANS: D
Advance directives are invoked when patients are unable to make their own decisions. Aggression, dehydration, or an inability to speak does not mean the patient is unable to make a decision.

Answer to Question 2

ANS: D
Lorazepam and Ativan are generic and trade names for the same drug, creating an accidental misuse situation. The patient needs medication education and help with proper, consistent labeling of bottles; no evidence suggests that the patient cannot self-administer medication. The distracters are not factual statements.

[D2AR0N]

Excellent

[Dominic]

TYSM