Difficulty: Medium
Average Score: 79%
Simulated
Passage / Scenario
Admission AssessmentDay 1, 0830:
Client with severe Alzheimer's disease admitted to unit. Client has difficulty communicating and controlling their movements and insomnia. Continuous monitoring needed to maintain client safety.
Vital Signs
0845:
Admission Vital Signs:
ÔÇó Blood pressure 122/82 mm Hg
ÔÇó Heart rate 90/min
ÔÇó Respiratory rate 16/min
ÔÇó Oxygen Saturation 97% on room air
ÔÇó Temperature 37┬░ C (98.6" F
A nurse is completing medication reconciliation on a client with severe Alzheimer's disease. For each potential provider's prescription, specify if the potential prescription is anticipated or contraindicated for the client.
Correct answer
A,B,C
Rationale
[Explanation: Melatonin, Memantine, and Donepezil are commonly prescribed medications for Alzheimer's disease. Melatonin can help regulate sleep-wake cycles, Memantine is an NMDA receptor antagonist used to treat cognitive symptoms, and Donepezil is a cholinesterase inhibitor to improve cognitive function. Haloperidol, on the other hand, is an antipsychotic commonly used for behavioral symptoms but may worsen cognitive decline in Alzheimer's patients. Therefore, A, B, and C are anticipated while D is contraindicated.]