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Terms in this set (10)
106. A nurse is caring for an older ANS: D
adult man who has Alzheimer Advancing age and a positive family history are the
disease (AD). The patient's daughter only two known risk factors. Female gender is not a
wants to know if testing can be done known risk; the increased incidence among females
to determine her risk for developing may be the result of women living longer than men.
the disease. What will the nurse tell No definitive genetic tests are available. The
her? presence of apoE2 seems to be protective.
a. Female gender is known to
increase the risk.
b. Genetic testing can provide a
definitive measure of the risk.
c. Patients with the apolipoprotein E2
gene (apoE2) are more likely to
develop the disease.
d. Advancing age and family history
are known risk factors.
, 107. A patient will begin taking a ANS: D
cholinesterase inhibitor for early Cholinesterase inhibitors produce modest
Alzheimer disease. The nurse is improvements in cognition, behavior, and function
teaching the patient's spouse about and may slightly delay disease progression; they
the medication. Which statement by do not have a major impact on delaying
the spouse indicates a need for progression of the disease. Gastrointestinal
further teaching? symptoms are common side effects. Drugs that
a. "Gastrointestinal symptoms are block cholinergic receptors, including
common with this medication." antihistamines, can reduce therapeutic effects and
b. "People taking this drug should should be avoided. Cholinesterase inhibitors do
not take antihistamines." not affect neurons already damaged, but they do
c. "This drug helps neurons that are improve function in those not yet affected.
not already damaged to function
better."
d. "This drug significantly slows the
progression of the disease."
108. The spouse of a patient who is ANS: A
newly diagnosed with Alzheimer Alzheimer disease is a disease in which symptoms
disease asks the nurse if medications progress relentlessly from mild to moderate to
will prevent the need for nursing severe. Medications have not been clearly
home care. Which response by the effective and do not stop the disease progression,
nurse is correct? although they may slow loss of memory and
a. "Drugs to treat Alzheimer disease cognition and prolong independent function. There
may slow the progression of memory is no indication that available drugs stop disease
loss." progression if begun early in the course of the
b. "Drugs may be effective to stop disease. There is no clearly effective therapy for
the progression of the disease if they core symptoms, but associated symptoms such as
are initiated early in the disease." incontinence and depression may be treated.
c. "Medications to treat Alzheimer
disease are effective for treating
core symptoms of the disease."
d. "Medications for Alzheimer
disease are effective in reducing
cognitive impairment."