Impaired Cognitive Function- Delirium and Dementia
1. Which of the following is a priority nursing intervention for the management of delirium?
A) Giving the client low-dose oxygenation and maintaining his or her fluid and electrolyte
balance
B) Reducing noise and placing familiar objects in the client's environment
C) Giving the client a clock, a watch, and calendars to provide the client with temporal
orientation
D) Providing psychological support through cognitive and social stimulation
Ans: A
Feedback:
Priority questions address physiologic integrity. The client needs to be stabilized before the other
interventions can be implemented.
2. A nurse is conducting a class at a senior citizens' center on factors that protect against
dementia. Which of the following statements by an older adult in the class indicates a need for
further teaching by the nurse?
A) "No healthy lifestyle is going to ward off dementia."
B) "Eating food high in omega-3 fatty acids will help preserve my thinking processes."
C) "Engaging in social activities will help prevent dementia."
D) "Engaging in an organized exercise program will help prevent symptoms of dementia."
Ans: A
Feedback:
Engaging in regular exercise has a positive effect on preventing cognitive decline. Omega-3 fatty
acids are nutritional interventions that help preserve cognition. There is evidence that engaging
in stimulating and meaningful activities also has a positive effect on preventing cognitive
decline. Adopting a healthy lifestyle may help ward off dementia just as it does other diseases.
3. A nurse teaches a client and care partner about cholinesterase inhibitors. Which of the
following statements should the nurse include in the teaching?
A) "Rivastigmine (Exelon) has a high chance of interacting with other medications."
B) "Nausea, vomiting, diarrhea, and loss of appetite can be prevented or reduced by starting
with a low dose."
C) "Rivastigmine is only for treatment of mild Alzheimer's disease and will be discontinued
as the disease progresses."
Category | NSG Exam |
Comments | 0 |
Rating | |
Sales | 0 |