PCC Nursing Exam 3 N50 Questions With
Correct Answers
Is dementia a normal part of aging? - CORRECT ANSWER✔✔-no
| | | | | | | | |
What percentage of adults develop dementia? - CORRECT ANSWER✔✔-
| | | | | | | |
15%
dysphagia - CORRECT ANSWER✔✔-language disorder
| | | |
apraxia - CORRECT ANSWER✔✔-motor speech disorder
| | | | |
visual agnosia - CORRECT ANSWER✔✔-impairment in recognizing
| | | | | | |
objects
most severe Alzheimer's stage - CORRECT ANSWER✔✔-stage 7
| | | | | | |
AD stage in which family/friends start to notice - CORRECT
| | | | | | | | | |
ANSWER✔✔-stage 3 |
,-donepezil hydrocholoride (Aricept) - CORRECT ANSWER✔✔-
| | | | |
acetylcholinesterase inhibitors: | |
Used to treat mild and moderate dementia
| | | | | |
Block cholinesterase, enzyme responsible for breaking down
| | | | | | |
acetylcholine
Improve or stabilize cognitive decline but do not cure or reverse
| | | | | | | | | | |
Nursing Considerations |
Monitor patient for evidence of active or occult GI bleeding.
| | | | | | | | |
Monitor patient for bradycardia because of potential for vagotonic
| | | | | | | | |
effects.
Look alike-sound alike: Don't confuse Aricept with Ascriptin.
| | | | | | |
Patient Teaching |
Stress that drug doesn't alter underlying degenerative disease but can
| | | | | | | | | |
temporarily stabilize or relieve symptoms. Effectiveness depends on
| | | | | | | |
taking drug at regular intervals.
| | | |
Tell caregiver to give drug just before patient's bedtime.
| | | | | | | |
Tell patient and caregiver not to break or crush tablets.
| | | | | | | | |
ODTs may be taken with or without food. Have patient allow tablet to
| | | | | | | | | | | | |
dissolve on his tongue, then swallow with a sip of water.
| | | | | | | | | |
Advise patient and caregiver to report immediately significant adverse
| | | | | | | | |
effects or changes in overall health status and to inform health care
| | | | | | | | | | | |
team that patient is taking drug before he receives anesthesia.
| | | | | | | | |
, Tell patient to avoid OTC cold or sleep remedies because of risk of
| | | | | | | | | | | | |
increased anticholinergic effects. | |
Memantine (Namenda) - CORRECT ANSWER✔✔-Nmda receptor| | | | | |
antagonist
Protects nerve cells against excess amounts of glutamate
| | | | | | |
To improve cognitive function in moderate to severe AD
| | | | | | | |
Nursing Considerations |
In elderly patients, even those with a normal creatinine level, use of this
| | | | | | | | | | | |
|drug may impair renal function. Estimate CrCl; reduce dosage in
| | | | | | | | | |
patients with moderate renal impairment. Don't give drug to patients
| | | | | | | | | |
with severe renal impairment.
| | |
Monitor patient carefully for adverse reactions as he may not be able to
| | | | | | | | | | | | |
recognize changes or communicate effectively.
| | | |
Patient Teaching |
Explain that drug doesn't cure Alzheimer disease but may aid patient to
| | | | | | | | | | | |
maintain function for a longer period of time.
| | | | | | |
Tell patient or caregiver to report adverse effects.
| | | | | | |
Urge patient to avoid alcohol during treatment.
| | | | | |
To avoid possible interactions, advise patient not to take herbal or OTC
| | | | | | | | | | | |
products without consulting prescriber.
| | |
Correct Answers
Is dementia a normal part of aging? - CORRECT ANSWER✔✔-no
| | | | | | | | |
What percentage of adults develop dementia? - CORRECT ANSWER✔✔-
| | | | | | | |
15%
dysphagia - CORRECT ANSWER✔✔-language disorder
| | | |
apraxia - CORRECT ANSWER✔✔-motor speech disorder
| | | | |
visual agnosia - CORRECT ANSWER✔✔-impairment in recognizing
| | | | | | |
objects
most severe Alzheimer's stage - CORRECT ANSWER✔✔-stage 7
| | | | | | |
AD stage in which family/friends start to notice - CORRECT
| | | | | | | | | |
ANSWER✔✔-stage 3 |
,-donepezil hydrocholoride (Aricept) - CORRECT ANSWER✔✔-
| | | | |
acetylcholinesterase inhibitors: | |
Used to treat mild and moderate dementia
| | | | | |
Block cholinesterase, enzyme responsible for breaking down
| | | | | | |
acetylcholine
Improve or stabilize cognitive decline but do not cure or reverse
| | | | | | | | | | |
Nursing Considerations |
Monitor patient for evidence of active or occult GI bleeding.
| | | | | | | | |
Monitor patient for bradycardia because of potential for vagotonic
| | | | | | | | |
effects.
Look alike-sound alike: Don't confuse Aricept with Ascriptin.
| | | | | | |
Patient Teaching |
Stress that drug doesn't alter underlying degenerative disease but can
| | | | | | | | | |
temporarily stabilize or relieve symptoms. Effectiveness depends on
| | | | | | | |
taking drug at regular intervals.
| | | |
Tell caregiver to give drug just before patient's bedtime.
| | | | | | | |
Tell patient and caregiver not to break or crush tablets.
| | | | | | | | |
ODTs may be taken with or without food. Have patient allow tablet to
| | | | | | | | | | | | |
dissolve on his tongue, then swallow with a sip of water.
| | | | | | | | | |
Advise patient and caregiver to report immediately significant adverse
| | | | | | | | |
effects or changes in overall health status and to inform health care
| | | | | | | | | | | |
team that patient is taking drug before he receives anesthesia.
| | | | | | | | |
, Tell patient to avoid OTC cold or sleep remedies because of risk of
| | | | | | | | | | | | |
increased anticholinergic effects. | |
Memantine (Namenda) - CORRECT ANSWER✔✔-Nmda receptor| | | | | |
antagonist
Protects nerve cells against excess amounts of glutamate
| | | | | | |
To improve cognitive function in moderate to severe AD
| | | | | | | |
Nursing Considerations |
In elderly patients, even those with a normal creatinine level, use of this
| | | | | | | | | | | |
|drug may impair renal function. Estimate CrCl; reduce dosage in
| | | | | | | | | |
patients with moderate renal impairment. Don't give drug to patients
| | | | | | | | | |
with severe renal impairment.
| | |
Monitor patient carefully for adverse reactions as he may not be able to
| | | | | | | | | | | | |
recognize changes or communicate effectively.
| | | |
Patient Teaching |
Explain that drug doesn't cure Alzheimer disease but may aid patient to
| | | | | | | | | | | |
maintain function for a longer period of time.
| | | | | | |
Tell patient or caregiver to report adverse effects.
| | | | | | |
Urge patient to avoid alcohol during treatment.
| | | | | |
To avoid possible interactions, advise patient not to take herbal or OTC
| | | | | | | | | | | |
products without consulting prescriber.
| | |
