An older patient with mild Alzheimer's disease abruptly stops taking the prescribed medication donepezil (Aricept). On which area should the nurse focus when assessing this patient?
1. Reflexes
2. Rest and sleep
3. Cognitive function
4. Cardiovascular function
Question 2A client has been diagnosed with polycythemia vera. Common treatment methods employed to treat this condition include
A) aggressive chemotherapy.
B) hydroxyurea orally and periodic phlebotomy treatments.
C) splenectomy.
D) ticlopidine orally.
Question 3The nurse is caring for an older patient who has been newly diagnosed with tonicclonic seizures. About which medication should the nurse prepare to instruct the patient?
1. Diazepam (Valium)
2. Phenytoin (Dilantin)
3. Clonazepam (Klonopin)
4. Valproic acid (Depakene)
Question 4A nurse is checking laboratory results on an older client who is taking alternating doses of warfarin (Coumadin) 2.5 mg/5 mg. The INR result is 6.3.. The nurse anticipates which of the following treatments to be prescribed for this client?
A) holding the warfarin for a day and then resuming a daily dose of 2.5 mg of warfarin
B) administering vitamin K 2.5 mg orally; holding the warfarin for 2 days and rechecking the PT/INR
C) administering protamine sulfate 10 mg intramuscularly
D) increasing the warfarin dosage to 5 mg daily
Question 5A care conference is being held with the family of an older patient in the late stages of Alzheimer's disease. The family wants to know if a feeding tube should be placed. How should this question be answered?
1. Tube feeding will aid the patient to gain weight.
2. Tube feeding is associated with a reduced risk of aspiration.
3. Tube feeding reduces the discomfort associated with dehydration.
4. The absence of tube feeding promotes dehydration which reduces pain sensitivity.
Question 6Which of the following assessment findings is most suggestive of deep-venous thrombosis?
A) bilateral calf tenderness after walking up a flight of stairs
B) swelling in one leg with pitting edema
C) shortness of breath after activity
D) two plus palpable pedal pulses
Question 7An older patient with Alzheimer's disease has a feeding tube. The family wants to know if the patient will ever be able to eat solid food again. What information should the nurse include when responding to this family's question?
1. The dietitian will decide if this can be done.
2. It depends upon the patient's functional eating abilities.
3. This can be done but the feeding tube has to be removed first.
4. In the patient with dementia, the restoration of natural feeding is highly unlikely.
Question 8An older patient with advanced Alzheimer's disease is being treated for pneumonia. The daughter is not sure if resuscitation efforts should be a part of the plan of care. What information should the nurse provide to the daughter?
1. Resuscitation is often effective for older adults.
2. After resuscitation the patient will return to the same level of functioning.
3. As long as the resuscitation efforts are initiated quickly, the patient will survive.
4. Resuscitation for cardiac or respiratory arrest will have little probability of success.
Question 9A client is prescribed warfarin (Coumadin) for chronic atrial fibrillation. The effects of the medication are monitored by
A) measuring the partial thromboplastin time (PTT).
B) measuring the protime and international normalized ratio (PT and INR).
C) measuring the platelet count.
D) measuring the hematocrit and hemoglobin.
Question 10The client at lowest risk for deep-venous thrombosis is a
A) 78-year-old woman who had surgery to repair her right hip, which was fractured in a fall.
B) 73-year-old client diagnosed with chronic lymphoid leukemia (CLL) 6 months ago.
C) 77-year-old male 2 days postmyocardial infarction who has episodes of ventricular dysrhythmias.
D) 70-year-old client who has a right hemiparesis from a stroke a week ago.
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