Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
Nurses' NotesDay 1
1235:
Client is alert and oriented to person, but disoriented to place and time with reorientation given. Directly admitted from the provider's office after a family member reported the client has not been eating, wanders more at night, and is sleeping all day. Client began bowel training program 1 month ago, but family member states client is having more difficulty staying focused. Family member also reports the client has become more confused in recent weeks. Client fell 2 days ago, but family member states x-ray showed no injuries after a visit to the emergency department.
A nurse is reviewing the medical record of a client who has moderate Alzheimer's disease. To effectively manage the provider prescriptions, which of the following tasks should the nurse assign to an assistive personnel (AP)? The nurse should plan to assign ---------------- and -------------- to the AP.
Correct answer
A,B
Rationale
Action to Take: A, B; Potential Condition: Moderate Alzheimer's disease; Parameter to Monitor: Cognitive function, Medication adherence.
Rationale: Administering memantine and continuing the bowel training program are appropriate tasks for an assistive personnel in managing prescriptions for a client with moderate Alzheimer's disease. Memantine is a commonly prescribed medication for Alzheimer's, and the AP can safely administer it under supervision. Bowel training is important for managing constipation, a common issue in Alzheimer's patients. Monitoring cognitive function and medication adherence are crucial in this population to ensure treatment efficacy and safety. Recording nutritional content and performing neurological checks are not directly related to managing provider prescriptions for Alzheimer's disease.
Rationale: Administering memantine and continuing the bowel training program are appropriate tasks for an assistive personnel in managing prescriptions for a client with moderate Alzheimer's disease. Memantine is a commonly prescribed medication for Alzheimer's, and the AP can safely administer it under supervision. Bowel training is important for managing constipation, a common issue in Alzheimer's patients. Monitoring cognitive function and medication adherence are crucial in this population to ensure treatment efficacy and safety. Recording nutritional content and performing neurological checks are not directly related to managing provider prescriptions for Alzheimer's disease.