A nurse is caring for an older adult who does not comply with the ...

[jjjetplane]

A nurse is caring for an older adult who does not comply with the medication program because of forgetfulness. What is the best technique for the nurse to do to help the client in taking her medications?
 
  A) Provide medications on time every day.
  B) Place a list of medications in the client's wallet.
  C) Use organizers to place daily medications.
  D) Appoint a volunteer to assist with administration of medication.

Question 2

A client is undergoing surgery for an en bloc resection to remove a tumor of the neck. Which of the following describes this type of surgery?
 
  A) Removal of the tumor, the organ involved, and surrounding tissues
  B) Removal of the tumor as well as some of the margin of the tumor
  C) Removal of the tumor and surrounding tissues and lymph nodes
  D) Destroying the tissue by high-frequency current

[Yixagurpuldink]

Answer to Question 1

C
Feedback:
A nurse can place all the medications in appropriate doses in organizers for a week or a month. This helps the client to remember if the medications have been taken or not and also to take medications in prescribed doses. Using organizers encourages self-care by the clients. The nurse or a volunteer need not provide medications to the client every day. A list of prescribed medications is not of much help to the forgetful client. The list must also mention the dose and time when the medications should be taken.

Answer to Question 2

C
Feedback:
Some tumors may be removed by en bloc resection, which involves removal of the tumor and surrounding tissues and lymph nodes. Larger tumors may be treated by exenteration (removal of the tumor, the organ involved, and surrounding tissues). An excisional biopsy will remove the tumor as well as some of the margin of the tumor. To prevent growth and spread, malignant tissues may be frozen (cryosurgery), burned (electrocauterizatio n), or destroyed by high-frequency current (fulguration).