The physician has prescribed Exelon (Rivastigmine). When providing education to the client, what information should be included?
A) Take medication at bedtime to avoid issues with drowsiness.
B) Monitor heart rate and hold dosages if heart rate is less than 60.
C) Take with food.
D) Increase fiber intake to avoid constipation.
Question 2The nurse is planning care for an older patient to prevent the geriatric cascade. What causes this cascade to occur in older patients? Standard Text: Select all that apply.
1. Frailty
2. Acute illness
3. Institutional care
4. Lack of health insurance
5. Poor appetite and malnutrition
Question 3The family of a client with advanced dementia and increasing health complications has gathered for a conference to discuss the plan of care for the client relating to the end-of-life plans.
During the conference, concerns about the client's increasing weight loss and inability or desire to eat have been raised. They are requesting information about initiating tube feedings. What response is indicated at this time?
A) Tube feeding will aid the client in gaining weight.
B) Tube feeding is associated with a reduced risk of aspiration.
C) Tube feeding may be beneficial in reducing the discomfort associated with dehydration.
D) At this time, the absence of tube feeding is promoting comfort, as dehydration has been shown to reduce pain sensitivity.
Question 4The nurse is assessing a frail older patient in a skilled facility. Which manifestations should the nurse consider as expected for this patient? Standard Text: Select all that apply.
1. Low energy
2. Poor endurance
3. Energetic gait speed
4. Low activity tolerance
5. Generalized weakness
Question 5A 78-year-old client with moderate dementia has been transferred to a long-term care facility. The client has a feeding tube. During the admission process, his wife expresses an interest in restoring natural feeding methods for her husband.
What information can be provided regarding her inquiry?
A) In the client with dementia, the restoration of natural feeding is highly unlikely.
B) One of the chief determining factors of the success of this transition will rest with his functional eating abilities.
C) The dietitian will need to make the final determination if this is a viable plan.
D) This option may be risky, as it requires the feeding tube to be removed prior to the initiation of the natural feeding.
Question 6An 83-year-old client with a history of congestive heart failure is admitted to the acute care facility with pneumonia. During the admission process it is noted the client has Stage 2 Alzheimer's disease and has been living with his daughter.
When plans for life support and code status are addressed, the daughter voices questions about the potential success of resuscitating her father. What information should be provided to answer this query?
A) Resuscitation is often effective for older adults like your father.
B) Resuscitation for cardiac or respiratory arrest for your father, given his history, will have little probability of success.
C) If your father would require resuscitation, he will likely be returned to his same level of functioning as before the event.
D) As long as the resuscitation efforts are initiated quickly, he will likely survive.
Question 7In preparation for discharge, the nurse gathers materials for the 72-year-old client who has recently been diagnosed with Alzheimer's disease. Included in the materials is information related to long-term care placement.
A new graduate working with the nurse questions why this has been included, as this client has only recently been diagnosed and is returning to home at this time. What information should be included in the response to the graduate nurse?
A) Long-term care placement is inevitable with this diagnosis.
B) Early introduction to potential placements will allow the client and family time to make a more informed decision.
C) By providing this information now, we will not need to address these concerns later.
D) It often takes 6 to 12 months for an individual with Alzheimer's disease to establish a successful transfer
to a facility, and this will allow adequate time.
Question 8The nurse is planning interventions to help improve the immune function of an older patient. What should be included in this patient's plan of care? Standard Text: Select all that apply.
1. Teach to avoid alcohol.
2. Educate on the effects of stress.
3. Encourage to take daily vitamin supplements.
4. Remind to obtain a yearly influenza vaccination.
5. Encourage to utilize positive coping strategies to stress.
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