Author Question: Paul is an 84-year-old man suffering from delirium following a bout of Clostridium difficilerelated ... (Read 24 times)

beccaep · **on:** Jul 19, 2018

Paul is an 84-year-old man suffering from delirium following a bout of Clostridium difficilerelated diarrhea. In the past few hours, he has become combative and has become a threat to staff.

Which of the following medications would Paul most likely receive for these symptoms?
A) Tacrine (Cognex)
B) Rivastigmine (Exelon)
C) Haloperidol (Haldol)
D) Galantamine (Reminyl)

Question 2

Jean is a 79-year-old woman who has been showing signs of dementia. While she has some cognitive delays during the day, she becomes increasingly irritable and agitated at night. This phenomenon is known as which of the following?

A) Sunset syndrome
B) Sundowning
C) Night dementia
D) Circadian dementia

triiciiaa · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Feedback:
Staff members must seriously consider this option when a client's behavior threatens the safety of self, family, or staff. Haloperidol (Haldol), a neuroleptic given either orally or by injection, is most commonly used for symptoms of delirium. The other listed medications are not indicated in the treatment of delirium.

Answer to Question 2

Ans: B
Feedback:
No key behavioral characteristic occurs in every client with dementia, but most changes become more pronounced after sunset (a phenomenon known as sundowning). Clients may become more irritable and suspicious and misinterpret visual or auditory cues. Because of their diffuse cognitive impairment, they may experience illusions and hallucinations.