NSG 123 Med Surg Exam 4
1. What is delirium and symptoms?: Acute onset of impair memory
Disruption of consciousness, with cognitive and Confusion.
LOC
inability to focus Disororiention hallucinations
Delusions
Fear
Anxiety
Paranoia may occur
Its reversible and its a life threatening can cause irreversible brain damage and
death
2. What is the priority of a nurse with a patient with delirium?: Identify the
underlying cause of delerium is most important so delerioum can be reversed
before permanent damage occurs
Delerium has an underlying cause that needs to be identified
3. What can cause delirium ?: Substance abuse
Substance withdrawa
Medications
Drugs
UTI infections
4. What is dementia?: Chronic, long term progression of decreased level of
cognition.
Progress slowly
5. Dementia Symptoms: Impairment of cognitive skills such as
Confusion
Poor judgment Forgetfulness
, NSG 123 Med Surg Exam 4
Language
Logical thinking and judgment
Ability to lean new information
Motor coordination
6. chronic mental illness: Dementia
Alzheimer
7. acute mental status changes: Delirium
Confusion - is an a symptom not a diagnosis. Disoriented to time, place, person
8. What are some difference between delirium and dementia?:
Delirium is on acute onset in the doctor Will need to find the underlying cause
9. Which one is a medical emergency?: Delirium
10. Which is a long term ?: Dementia . Non reversible
11. The client is unable to follow directions, is disoriented and hallucinating.
The client is experiencing which symptoms: Delirium
12. What is Alzheimer's disease?: chronic, progressive, degenerative disease of
the brain. No cure
Cause unknown likely a combination of genetic and environmental
factors
Age is a risk factor
Two types
Familial / early onset
Sporadic / late onset
, NSG 123 Med Surg Exam 4
13. What is the functional goal of Alzheimer disease management?: Safety -
be functional as possible
14. Alzheimer's at late stage or terminal stage: Client requires total care in my
be unable to recognize family
Decrease ability to ADLs
15. How would the nurse would recognize early stage of Alzheimer?: At early
stage the patient will be
Forget
And repeat histories
As the diseases progress
Client demonstrate impulsive behavior in develop problems speaking
16. Alzheimer is knows as: Senile dementia
The most common cause of dementia
Research suggests oxidative stress plays a role in the pathophysiology of
distances.
A disturbance in the balance between the production of reactive oxygen species
( free radicals) and antioxidant
17. What are some medications for Alzheimer?: Donepezil ( Aricept)
( cholinesterase inhibitor)
Memantine ( namenda)
Gelantamine
Rivastigmi (Exelon)
Donepezil- memantine ( namzaric)
18. What is the purpose of donepezil (Aricept) when given to a client with
, NSG 123 Med Surg Exam 4
Alzheimer dx?: Donepezil helps to manage the symptoms of Alzheimer's disease
19. Nursing management of Alzheimer's: The supporting cognitive function
Promoting physical safety
Promoting independence in self-care activities
Reducing anxiety and agitation
Promoting nutrition
Promoting balance activity and rest
Support in educate family members in caregivers while providing a calm and
predictable environment
Do not change caregivers( if possible)
Medications
20. What medication is best for Alzheimer for patients with renal issues?:
Donepezil
21. Key points for Donepezil: Help manage cognitive and behavior symptoms
Increase uptake of acetylcholine
Slow the progression of the disease
Improvements in cognition can be seen after 6- 12 months
Watch liver disease!
22. Memantine (Namenda): NMDA receptor antagonist (Alzheimer's disease) N-
methyl-D-aspartame
Do not give to clients with severe renal impairment
1. What is delirium and symptoms?: Acute onset of impair memory
Disruption of consciousness, with cognitive and Confusion.
LOC
inability to focus Disororiention hallucinations
Delusions
Fear
Anxiety
Paranoia may occur
Its reversible and its a life threatening can cause irreversible brain damage and
death
2. What is the priority of a nurse with a patient with delirium?: Identify the
underlying cause of delerium is most important so delerioum can be reversed
before permanent damage occurs
Delerium has an underlying cause that needs to be identified
3. What can cause delirium ?: Substance abuse
Substance withdrawa
Medications
Drugs
UTI infections
4. What is dementia?: Chronic, long term progression of decreased level of
cognition.
Progress slowly
5. Dementia Symptoms: Impairment of cognitive skills such as
Confusion
Poor judgment Forgetfulness
, NSG 123 Med Surg Exam 4
Language
Logical thinking and judgment
Ability to lean new information
Motor coordination
6. chronic mental illness: Dementia
Alzheimer
7. acute mental status changes: Delirium
Confusion - is an a symptom not a diagnosis. Disoriented to time, place, person
8. What are some difference between delirium and dementia?:
Delirium is on acute onset in the doctor Will need to find the underlying cause
9. Which one is a medical emergency?: Delirium
10. Which is a long term ?: Dementia . Non reversible
11. The client is unable to follow directions, is disoriented and hallucinating.
The client is experiencing which symptoms: Delirium
12. What is Alzheimer's disease?: chronic, progressive, degenerative disease of
the brain. No cure
Cause unknown likely a combination of genetic and environmental
factors
Age is a risk factor
Two types
Familial / early onset
Sporadic / late onset
, NSG 123 Med Surg Exam 4
13. What is the functional goal of Alzheimer disease management?: Safety -
be functional as possible
14. Alzheimer's at late stage or terminal stage: Client requires total care in my
be unable to recognize family
Decrease ability to ADLs
15. How would the nurse would recognize early stage of Alzheimer?: At early
stage the patient will be
Forget
And repeat histories
As the diseases progress
Client demonstrate impulsive behavior in develop problems speaking
16. Alzheimer is knows as: Senile dementia
The most common cause of dementia
Research suggests oxidative stress plays a role in the pathophysiology of
distances.
A disturbance in the balance between the production of reactive oxygen species
( free radicals) and antioxidant
17. What are some medications for Alzheimer?: Donepezil ( Aricept)
( cholinesterase inhibitor)
Memantine ( namenda)
Gelantamine
Rivastigmi (Exelon)
Donepezil- memantine ( namzaric)
18. What is the purpose of donepezil (Aricept) when given to a client with
, NSG 123 Med Surg Exam 4
Alzheimer dx?: Donepezil helps to manage the symptoms of Alzheimer's disease
19. Nursing management of Alzheimer's: The supporting cognitive function
Promoting physical safety
Promoting independence in self-care activities
Reducing anxiety and agitation
Promoting nutrition
Promoting balance activity and rest
Support in educate family members in caregivers while providing a calm and
predictable environment
Do not change caregivers( if possible)
Medications
20. What medication is best for Alzheimer for patients with renal issues?:
Donepezil
21. Key points for Donepezil: Help manage cognitive and behavior symptoms
Increase uptake of acetylcholine
Slow the progression of the disease
Improvements in cognition can be seen after 6- 12 months
Watch liver disease!
22. Memantine (Namenda): NMDA receptor antagonist (Alzheimer's disease) N-
methyl-D-aspartame
Do not give to clients with severe renal impairment
