Delirium
Neurocognitive disorder
Alzheimer's
Misc.
Alzheimer's Cont.
100
What are risk factors for delirium?
What is Neurological disease (Parkinson's), Metabolic disease (renal failure), Infections (HIV), and substance use.
100
what is the outcome of neurocognitive disorder?
What is irreversible and progressive
100
What mimics the early stages of Alzheimer's disease?
What is Depression
100
What is the difference in onset between delirium and Neurocognitive disorder?
What is delirium is rapid over short period of time (hours or days). Neurocognitive is gradual deterioration of function over months or years.
100
what is the function of stage 1 Alzheimer's disease?
What is normal function
200
what is the outcome of delirium?
What is reversible if diagnosis and treatment are prompt
200
what is the difference between donepezil and other cholinesterase inhibitors?
What is donepezil is a long half-life and is administered once daily at bedtime. Others usually are administered twice daily.
200
what is S/S of stage 3 of Alzheimer's disease?
what is short term memory loss, decrease attention span, and difficulty remembering names.
200
which herbal product causes a risk for bleeding in clients taking antiplatelet meds?
What is Ginkgo Biloba
200
What are risk factors for neurocognitive disorders and Alzheimer's?
What is What is old age, h/o head trauma, family h/o Alzheimer's and down syndrome.
300
what impairments occur with delirium and do they change?
What is memory, judgement, ability to focus and calculate. They fluctuate throughout the day.
300
what impairments occur with neurocognitive disorders and do they change?
What is memory, judgement, aphasia, agnosia, daily task, apraxia, and they do not change throughout the day
300
When should Cholinesterase inhibitors be used with caution?
What is clients who have pre-existing asthma or obstructive pulmonary disorders.
300
what defense mechanism are used in cognitive disorders and what do they mean?
What is denial- family and client refuse to believe change. Confabulation- make up stories when questioned about events that client doesn't remember. Perseveration- avoiding answering questions by repeating phrases or behavior.
300
what is the S/S of stage 4 Alzheimer's disease?
What is personality change, memory loss of recent occasions, current events, and personal history, difficulty performing task that require planning and organizing, difficulty with complex mental arithmetic.
400
Pt comes into the ER with visual hallucinations what is your priority nursing interventions.
What is Don't argue or question the hallucinations, tell them they are in a safe environment, and speak in a calm positive tone.
400
What is the only medication approved for moderate to severe stages of Alzheimer's disease? and what are some nursing considerations?
What is Memantine, it can be used concurrently with a cholinesterase inhibitor. administer with or without food, and monitor for adverse effects, including dizziness, headache, confusion and constipation.
400
What is S/S of stage 5 of Alzheimer's disease?
what is confusion as to time and place, difficulty remembering phone numbers and addresses and things about self
400
Functional Dementia scale is used for?
What is Giving the nurse information regarding clients ability to perform self care, extent of memory loss, mood change, and degree of danger to self/others.
400
What is the therapeutic uses of Neurocognitive disorder medication?
What is improve ability to perform self-care and slow cognitive deterioration of Alzheimer's dieses for clients in the mild to moderate stages.
500
What does delirium medications focus on and give examples of medication classification?
What is treatment of the underlying disorder, antipsychotic or antianxiety medications can be prescribed.
500
examples of medication and food interactions for neurocognitive disorder medications and nursing interventions
What is Concurrent use of aspirin- monitor for indications of gastrointestinal bleeding. Antihistamines, antidepressants can reduce the therapeutic effects of donepezil- instruct PT not to take these medications.
500
Adverse effects for neurocognitive disorders and nursing interventions
What is Nausea and diarrhea- Promote adequate fluid intake. Bradycardia- instruct the client to be screened for underlying heart disease and have family monitor pulse rate for the client who lives at home
500
What do your nursing interventions focus on?
What is Protecting PT from injury, prompting PT dignity and quality of life.
500
what is S/S of stage 7 of Alzheimer's Disease
What is stupor and coma, death r/t choking or infection, and general urinary incontinence.
M
e
n
u