Author Question: The nursing staff working on the dementia unit of a long-term care facility are informed that the ... (Read 227 times)

rayancarla1 · **on:** Jul 19, 2018

The nursing staff working on the dementia unit of a long-term care facility are informed that the entire unit will be redecorated in the next two weeks. Nursing staff tell the nurse manager that this will be a problem for the patients.

What particular patient need is addressed by the staff nurse's concern?
1. A stable environment
2. Patient comfort
3. Scheduling of admissions
4. Patient safety

Question 2

The nurse is caring for a patient with moderate Alzheimer disease (AD). The health care provider has ordered memantine (Namenda) for the collaborative treatment of the patient's disease. What is the nurse's best understanding of this medication's action?

1. Protects cells against excess glutamate by partially blocking NMDA c-receptors.
2. Slows the degradation of acetylcholine, thereby increasing concentration of the neurotransmitters in the cerebral cortex.
3. Protects cells against excess NMDA by partially blocking glutamate c-receptors.
4. Slows the degradation of dopamine, thereby increasing concentration of the neurotransmitters in the cerebral cortex.

vish98 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1
Explanation: Patients with a diagnosis of dementia need a stable environment to promote optimal orientation. Patient safety, scheduling of admissions, and patient comfort may not be impacted by the redecoration efforts.

Answer to Question 2

Answer: 1
Explanation: Memantine (Namenda) is a NMDA receptor antagonist. This medication may protect cells against excess glutamate by partially blocking NMDA c-receptors. Cholinesterase inhibitors (ChEIs) are also used in the treatment of AD. These medications slow the degradation of acetylcholine, thereby increasing concentration of the neurotransmitters in the cerebral cortex.