APEA 3P Exam Prep - Health
Promotion Questions with
CorrectAnswers and
Explanations
A 58-year-old patient has an annual exam. A fecal occult blood test was used to screen for
colon cancer. Three were ordered on separate days. The first test was positive; the last
two were negative. How should the nurse practitioner proceed?
Rescreen in one year.
Perform a fourth exam.
Examine him for hemorrhoids.
Refer him for a colonoscopy.
A fecal occult blood test is performed multiple times on different days because tumors don’t
consistently excrete blood. The reason multiple tests are performed isto increase the
likelihood of identifying blood. The patient needs to have a colonoscopy performed for
examination of the colon. The standard of practice is to refer all positive colon cancer screens
for colonoscopy.
A criterion for medication choice in an older adult is:
long half-life to prevent frequent dosing.
dosing of 3-4 times daily.
pill color and shape for easy identification.halflife less than 24 hours.
Many factors go into prescribing for older adults. Some important safety criteria include
established efficacy, low adverse event profile, and half-life less than 24 hours with no active
metabolites. Active metabolites would produce a longer effectof the drug in the patient.
Dosing of a medication three to four times daily invites dosing and medication errors. Onceor twice-daily dosing is ideal. Pill color and shape is never a criterion for prescribing. Patients
who are cognitively able will recognize the color, shape, and size of pills they take on a regular
basis.
What should the nurse practitioner recommend to any elder taking medications?Have
someone check your medications prior to taking them
Never take your medicine on an empty stomachKeep a
list of all of your medications with you.
Have a pharmacistreview yourlist once a year
A list of current medications should be kept with each patient and carried with him,especially
when healthcare visits are scheduled. Many older adults can take medications without
supervision. Many medications should be taken without food (thyroid supplementation for
example). A pharmacist can evaluate the list of medications for drug-drug interactions, but
the pharmacist will not know the diagnoses and other reasons for choosing the medications.
What temperature should be set on a water heater in the home of an older adult to prevent
burn injury?
Less than 110 degree
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