Question 1

A patient will begin taking a cholinesterase inhibitor for early Alzheimer's disease. The nurse is teaching the patient's spouse about the medication. Which statement by the spouse indicates a need for further teaching?

Accepted Answer

A)   "Gastrointestinal symptoms are common with this medication."
B)   "People taking this drug should not take antihistamines."
C)   "This drug helps neurons that aren't already damaged to function better."
D)   "This drug significantly slows the progression of the disease."E) B) and C)
F) A) and B)

Question 2

An older adult patient with Alzheimer's disease is admitted to the hospital. The patient's spouse reports that the patient is often confused and gets lost walking to the store, which is 3 blocks from their home. That evening, the nurse observes the patient pacing the hall and screaming. What will the nurse do?

Accepted Answer

A)   Notify the provider of this patient's worsening symptoms.
B)   Prepare the patient's spouse for impending death from Alzheimer's disease.
C)   Request an increase in the medication dose to treat the exacerbation in symptoms.
D)   Tell the spouse that this is an expected progression of the disease.E) B) and C)
F) A) and C)

Question 3

The spouse of a patient with Alzheimer's disease asks a nurse for more information about the rivastigmine (Exelon)  transdermal patch that is being used. Which statement by the spouse indicates a need for further explanation?

Accepted Answer

A)   "Doses are lower but more steady with the transdermal patch."
B)   "Reduced side effects occur with the transdermal patch."
C)   "We only need to change the patch every 2 weeks."
D)   "We should remove the old patch before applying the new one."E) All of the above
F) B) and C) C

Question 4

The spouse of a patient who acts confused and forgetful wants to know if there is a test to determine whether the patient has Alzheimer's disease. Which response by the nurse is correct?

Accepted Answer

A)   "A diagnosis is made by administering medications and observing for potential improvement in symptoms."
B)   "The diagnosis is based on a patient's age, family history, serum apolipoproteins, and genetic testing."
C)   "Magnetic resonance imaging to demonstrate brain atrophy is the definitive test to determine Alzheimer's disease."
D)   "Proposed diagnostic criteria include measures of cognitive function and the presence of one known biomarker."E) All of the above
F) C) and D)

Question 5

A nurse is teaching a group of nursing students about the use of memantine (Namenda)  for Alzheimer's disease. Which statement by a student indicates understanding of the teaching?

Accepted Answer

A)   "Memantine is indicated for patients with mild to moderate Alzheimer's disease."
B)   "Memantine modulates the effects of glutamate to alter calcium influx into neurons."
C)   "Memantine prevents calcium from leaving neurons, which improves their function."
D)   "When used with donepezil, memantine increases the amount of calcium in neuronal cells."E) B) and C)
F) C) and D)

Question 6

A nurse is caring for an older adult patient who has Alzheimer's disease. The patient is taking a cholinesterase inhibitor drug. Which side effects would concern the nurse?

Accepted Answer

A)   Confusion and memory impairment
B)   Dizziness and headache
C)   Nausea, vomiting, and diarrhea
D)   Slowed heart rate and lightheadednessE) B) and C)
F) None of the above

Question 7

A patient is worried about the risk of developing Alzheimer's disease, because both parents had the disease. The nurse will tell this patient that known risk factors include what? (Select all that apply.)

Accepted Answer

A)   Advanced age
B)   Alcoholism
C)   Family history
D)   Gender
E)   ObesityF) B) and E)
G) All of the above A, C

Question 8

A nurse is caring for an older adult man who has Alzheimer's disease (AD) . The patient's daughter wants to know if testing can be done to determine her risk for developing the disease. What will the nurse tell her?

Accepted Answer

A)   Family history and female gender are both known to increase the risk.
B)   Genetic testing can provide a definitive measure of the risk.
C)   Patients with the apolipoprotein E2 gene (ApoE2)  are more likely to develop the disease.
D)   Some biologic markers can be measured, but none is known to increase the risk.E) B) and C)
F) A) and C) D

Question 9

An older adult patient has confusion, memory loss, and disorientation in familiar surroundings. The patient has been taking donepezil (Aricept)  10 mg once daily for 6 months. The patient's symptoms have begun to worsen, and the patient's spouse asks if the medication dose can be increased. What will the nurse tell the spouse?

Accepted Answer

A)   The dose can be increased, because the patient has been taking the drug for longer than 3 months.
B)   The dose can be increased to twice daily dosing instead of once daily dosing.
C)   The increase in symptoms is the result of hepatotoxicity from the medication's side effects.
D)   The patient must take the drug for longer than 1 year before the dose can be increased.E) B) and C)
F) All of the above

Exam 22: Alzheimers Disease

A patient will begin taking a cholinesterase inhibitor for early Alzheimer's disease. The nurse is teaching the patient's spouse about the medication. Which statement by the spouse indicates a need for further teaching?

Correct Answer
verified

Correct Answer
verified

The spouse of a patient with Alzheimer's disease asks a nurse for more information about the rivastigmine (Exelon) transdermal patch that is being used. Which statement by the spouse indicates a need for further explanation?

Correct Answer
verified
C

The spouse of a patient who acts confused and forgetful wants to know if there is a test to determine whether the patient has Alzheimer's disease. Which response by the nurse is correct?

Correct Answer
verified

A nurse is teaching a group of nursing students about the use of memantine (Namenda) for Alzheimer's disease. Which statement by a student indicates understanding of the teaching?

Correct Answer
verified

A nurse is caring for an older adult patient who has Alzheimer's disease. The patient is taking a cholinesterase inhibitor drug. Which side effects would concern the nurse?

Correct Answer
verified

A patient is worried about the risk of developing Alzheimer's disease, because both parents had the disease. The nurse will tell this patient that known risk factors include what? (Select all that apply.)

Correct Answer
verified
A, C

A nurse is caring for an older adult man who has Alzheimer's disease (AD) . The patient's daughter wants to know if testing can be done to determine her risk for developing the disease. What will the nurse tell her?

Correct Answer
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D

Correct Answer
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Exam 22: Alzheimers Disease

A patient will begin taking a cholinesterase inhibitor for early Alzheimer's disease. The nurse is teaching the patient's spouse about the medication. Which statement by the spouse indicates a need for further teaching?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The spouse of a patient with Alzheimer's disease asks a nurse for more information about the rivastigmine (Exelon) transdermal patch that is being used. Which statement by the spouse indicates a need for further explanation?

Correct AnswerverifiedC

The spouse of a patient who acts confused and forgetful wants to know if there is a test to determine whether the patient has Alzheimer's disease. Which response by the nurse is correct?

Correct AnswerverifiedShow Answer

A nurse is teaching a group of nursing students about the use of memantine (Namenda) for Alzheimer's disease. Which statement by a student indicates understanding of the teaching?

Correct AnswerverifiedShow Answer

A nurse is caring for an older adult patient who has Alzheimer's disease. The patient is taking a cholinesterase inhibitor drug. Which side effects would concern the nurse?

Correct AnswerverifiedShow Answer

A patient is worried about the risk of developing Alzheimer's disease, because both parents had the disease. The nurse will tell this patient that known risk factors include what? (Select all that apply.)

Correct AnswerverifiedA, C

A nurse is caring for an older adult man who has Alzheimer's disease (AD) . The patient's daughter wants to know if testing can be done to determine her risk for developing the disease. What will the nurse tell her?

Correct AnswerverifiedD

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
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C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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A, C

Correct Answer
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D

Correct Answer
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