Geriatric & Long-Term Care Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Geriatric & Long-Term Care flashcards as text
An elderly resident in a long-term care facility refuses to take a prescribed medication. What is the LVN's first action?
Answer: Document the refusal and notify the charge nurse
Documenting the refusal and notifying the charge nurse respects patient autonomy while ensuring proper communication and follow-up.
Which assessment finding in an older adult most warrants immediate reporting to the RN?
Answer: Sudden onset confusion in a previously alert resident
Sudden onset confusion (acute delirium) in an older adult can indicate a serious underlying condition such as infection, medication toxicity, or stroke.
A long-term care resident develops a stage 2 pressure injury. Which intervention is the priority?
Answer: Reposition the resident every 2 hours and apply an appropriate dressing
Repositioning every 2 hours relieves pressure and promotes circulation, while proper wound dressing supports healing of a stage 2 pressure injury.
Which medication class is most commonly associated with fall risk in elderly patients?
Answer: Benzodiazepines
Benzodiazepines cause sedation, muscle relaxation, and impaired coordination, significantly increasing fall risk in older adults.
An LVN is caring for a resident with dementia who is agitated. Which non-pharmacologic intervention should be tried first?
Answer: Redirect the resident with a calm voice and familiar activity
Redirection with a calm voice and familiar activity is the first-line non-pharmacologic approach to managing agitation in dementia patients.
What is the purpose of a Minimum Data Set (MDS) in long-term care facilities?
Answer: To standardize comprehensive assessment and care planning for residents
The MDS is a federally mandated comprehensive assessment tool used in long-term care to guide care planning and support reimbursement decisions.
Which action by a nursing assistant requires the LVN to intervene immediately?
Answer: Leaving the side rails down on a fall-risk resident's bed
Leaving side rails down on a fall-risk resident poses an immediate safety hazard and requires prompt correction by the LVN.