Is dementia chronic or acute?
Chronic and irreversible.
You have a patient that’s confused. You’re questioning the family, as a nurse what would be the first thing you ask the family?
Ask the family “When do you think it started?” And ask for the detailed information on how it happened.
Which medication can cause confusion?
Digoxin.
You have a patient with delirium and you ask them to do something and they don’t respond. As a nurse what would you do?
Ask them again.
What causes dementia? 2 types of dementia?
Alzheimer’s and vascular dementia
You have a patient that has dementia, lives at home and their family members are asking for advice? What advice would you give them?
Dementia patients are often wondering. Lock the door/windows and lock up
medications.
Your patient has MCI (Mild Cognitive Impairment) ,what can you do as a nurse?
Reorient patient (Place,time,name)
You have a patient who’s terminally ill. What should you do as a nurse to prevent pain and relieve pain? What should you implement when administering pain medication?
Before it becomes severe for the patient, give the pain medication . (IT’S NOT PRN)
What else can you do rather than medication for a terminally ill patient?
Non-pharmacological.
Listening and therapeutic touch.
When a patient is terminally ill (Terminally ill patient will likely lead to death). You’re looking for impending death, what will the respiration sound like?
Noisy tachypnea (death rattle)
If your patient is diagnosed with cancer and they can’t operate? And they’re telling you they’re excited for something in 2 years. What stage of grief are they at?
In denial
.If your patient is dying and the family says they wanna donate the organ What’s the first thing you do as a nurse?
Inform the Physician.
If your patient is dying, what are some medical things you shouldn’t be doing?
Stop giving pain medication. Stop unnecessary assessment.
What should Multiple Sclerosis patients be doing, what are they balancing (in their personal life)?
- Maintain general health through diet and exercise.
- Avoid or minimize effects of triggers for MS such as infections, trauma, climate changes, and immunizations.
- Seek regular medical checkups for disease prevention
Saint John warts is a herbal medication for depression. Your patient has Parkinson Disease and is already taking levodopa- Carbidopa and they want to add a herbal medication for depression. What would you tell them?
Herbal medication can interfere with the effectiveness of the medication.
16.The family asks you, What would be an appropriate gift for a patient with parkinson disease?
DON’T choose puzzles, card games, shoes.
Systemic side effects of timolol and the patient has glaucoma. What is the cause of Glaucoma?
Bronchospasm, heart failure.
As you get older does your personality change?
No
How to reduce safety risk for older clients with Alzheimer disease?
- Provide a safe environment
- Determine whether the patient can perform her own ADLs.
Your patients have reduced kidney function, and they were prescribed sedative hypnotic medication and experience severe adverse reactions?
Barbiturate drugs
As a nurse you’re assessing someone diagnosed with parkinson disease, what would you report immediately?
Report Hypoglycemia.
Would you report tremors for a patient with parkinson disease?
no
Is it normal to feel numbness in your hands?
No
Health promotion for neurological health?
1.Avoid smoking.
2.Maintain a healthy weight to prevent obesity-related neurological issues.
3.Practice effective stress management.
4.Monitor and manage cholesterol levels.
5.Control high blood pressure (hypertension) through diet, exercise, and medication if needed.
6.Prevent falls.
7. Use protection to prevent sexually transmitted disease.
