An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police intervened, they found that this adult was wearing a heavy coat and hat, even though it was July
Which stage of Alzheimer's disease is evident?
a. Preclinical Alzheimer's disease
b. Mild cognitive decline
c. Moderately severe cognitive decline
d. Severe cognitive decline
ANS: C
In the moderately severe stage, deterioration is evident. Memory loss may include the inability to remember addresses or the date. Activities such as driving may become hazardous, and frustration by the increasing difficulty of performing ordinary tasks may be experienced. The individual has difficulty with clothing selection. Mild cognitive decline (early-stage) Alzheimer's can be diagnosed in some, but not all, individuals. Symptoms include misplacing items and misuse of words. In the stage of severe cognitive decline, personality changes may take place, and the patient needs extensive help with daily activities. This patient has symptoms, so the preclinical stage does not apply.
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During a neurological assessment, the nurse notes a patient has a unilateral, dilated, and nonreactive pupil. This is a sign that the patient is experiencing pressure on which cranial nerve?
a. I b. II c. III d. IV
The nurse caring for an older adult patient engages in appropriate cancer-related health screening when which of the following occur? (Select all that apply.)
a. Preparing a patient for a lung biopsy b. Collecting a 24-hour urine specimen c. Assisting a patient schedule a mammo-gram d. Drawing blood for a prostate sensitive an-tigen (PSA) test e. Keeping a patient NPO for a bladder bi-opsy
Why do some patients develop nausea and vomiting after taking aspirin?
A. Salicylates stimulate the mucopolysaccharides in the stomach causing hydrochloric acid erosion that leads to nausea and vomiting. B. Salicylates stimulate the microsomal metabolizing system in the liver, resulting in an increase in the amount of acid produced in the GI tract. C. Salicylates stimulate the medullary center known as the chemoreceptor trigger zone that directly excites the vomiting center so that emesis may occur. D. None of the above are correct.
A patient is suspected of having myasthenia gravis (MG). Which test should the nurse expect to be used to improve this patient's strength for about five minutes?
A. Analysis of anti-acetylcholine receptor antibodies B. Nerve stimulation study C. Computed tomography (CT) scan of the legs D. Tensilon test