Marie is a 50-year-old woman who has a significant family history ...

[tth]

Marie is a 50-year-old woman who has a significant family history of Alzheimer's disease. She asks the nurse if there is anything she can do to prevent the disease. Which of the following is the nurse's best response?
 
  A) Unfortunately, Alzheimer's disease is genetic and there is nothing that can be done to prevent the disease.
  B) Some studies have shown a lower incidence of cognitive decline in people who regularly exercise.
  C) Postmenopausal women who take estrogen and progestin are at decreased risk for dementia.
  D) The use of anti-inflammatory medications such as ibuprofen has been shown to increase the risk for Alzheimer's disease.

Question 2

The client with dementia often cannot clearly communicate physical needs. Which of the following interventions should the nurse teach the caregiver to address common physical problems?
 
  A) Keep the client's hair trimmed short
  B) Keep a record of the client's bowel movements
  C) Make sure the client voids at least twice per day
  D) Give aspirin if the client appears uncomfortable

[komodo7]

Answer to Question 1

Ans: B
Feedback:
Several large epidemiological studies and research initiatives (Abbott et al., 2004; Larson et al., 2006; Podewils et al., 2005; Weuve et al., 2004) have shown a lower incidence of cognitive decline in people who regularly exercise. Although initial animal studies suggested that hormone replacement therapy in postmenopausal women protected against cognitive decline, later evidence found that women taking combined estrogen and progestin were at significantly increased risk for dementia (Schumaker et al., 2003). With a possible relationship between inflammation and AD, some researchers believe that anti-inflammatory medications (eg, ibuprofen, aspirin) may help prevent AD.

Answer to Question 2

Ans: B
Feedback:
Poor food and fluid intake can result in bowel and bladder problems. Constipation or impaction from insufficient bulk or water can have serious consequences if not treated promptly. The client may be unable to articulate feelings of fullness; caregivers should keep a record of the regularity of bowel movements. A client should void more than twice each day. There is no specific need to keep the client's hair short, and aspirin is contraindicated for many clients due to the risk of bleeding.

[tth]

TYSM

[LVPMS]

Excellent