NSG 123 Medical Surgical Nursing: Exam 4 (Modules 8, 9, 10, 11) Question and answers 100% correct 2023

NSG 123 Medical Surgical Nursing: Exam 4 (Modules 8, 9, 10, 11) Question and answers 100% correct 2023 Delirium Definition - correct answer State of temporary acute mental confusion. Usually develops over a 2-3 day person. It is life-threatening & possibly preventable syndrome. Most frequent complication of hospitalization in older adults. Priority of safety and treating underlying cause. Delirium, often called acute confusional state, begins with disorientation and, if not recognized and treated, can progress to changes in level of consciousness, irreversible brain damage, and sometimes death Dementia Definition - correct answer Initial symptoms are related to changes in cognitive function. The cognitive, functional, and behavioral changes that characterize dementia eventually destroy a person's ability to function. The symptoms are usually subtle in onset and often progress slowly until they are obvious and devastating. Family members often report to doctor: Memory loss, Mild disorientation, Trouble with words and/or numbers Confusion: Suspected Elderly Abuse - correct answer Neglect or abuse of the patient can occur, and this has been documented in home situations as well as in institutions. If neglect or abuse of any kind—including physical, emotional, sexual, neglect, or financial abuse—is suspected, the local adult protective services agency must be notified. The responsibility of the nurse is to report the suspected abuse, not to prove it. What is the point of medications in Alzheimer's? - correct answer Slow the Progression What two categories of medications are used to treat Alzheimer's? - correct answer Acetylcholinesterase inhibitor & N-methyl-D-aspartate receptor antagonist N-methyl-D-aspartate receptor antagonist: Name? What Disease? What to watch for? What does it do? - correct answer Alzheimer's Memantine- Namenda Decreases glutamate circulation in the brain • Watch renal disease Acetylcholinesterase Inhibitor: Name? What Disease? What to watch for? What does it do? - correct answer Alzheimer's Increases uptake of acetylcholine (Donepezil- Aricept, Rivastigmine- Exelon) • Watch liver disease