NURS 6540-week 11 quiz.
Question 10
The use of feeding tubes, either nasogastric or percutaneous, at the end of life
a. Improves quality of life
b. Has no clinical benefit in patients with dementia
c. Prolo
...
NURS 6540-week 11 quiz.
Question 10
The use of feeding tubes, either nasogastric or percutaneous, at the end of life
a. Improves quality of life
b. Has no clinical benefit in patients with dementia
c. Prolongs life
d. Demonstrates to families that everything is being done for their loved one
Successful outcomes of cardiopulmonary resuscitation (CPR) in hospitalized older adults are determined by
a. The underlying health of the patient (comorbid conditions)
b. The cause of cardiac or respiratory arrest
c. The technique used by the person performing CPR
d. All of the above
Question 8
In patients using chronic opioid analgesia for significant pain, the need to increase dosage over time to achieve adequate analgesic effect indicates
a. Withdrawal
b. Addiction
c. Tolerance
d. Psychological dependence
Question 7
In older adults with terminal cancer, the presence of nausea and vomiting is most likely related to
a. Treatments such as opioid pain medications
b. Lactose intolerance
c. Anorexia
d. All of the above
Question 6
A Do-Not-Resuscitate order (DNR) indicates
a. No further treatments should be performed on the patient
b. The patient and family have made a decision to forgo CPR and artificial ventilation in favor of a natural death
c. The patient should be moved to a private room
d. The patient is on Hospice
Question 5
Which class of medications is most useful in managing all four symptoms of dyspnea, cough, anxiety, and pain in terminally ill older adults?
a. Opioids
b. Beta blockers
c. Diuretics
d. Benzodiazepines
Question 4
Meperidine (Demerol) is contraindicated for use in older adults because
a. It has no analgesic properties
b. Its active metabolite can accumulate in patients with decreased kidney function
c. Accumulation of the active metabolite in the body can cause seizures
d. All of the above
Question 3
There is no ethical or legal difference between withholding an intervention (not starting it) and withdrawing life-sustaining medical treatment (stopping it after it has been started).
True
Question 2
The appropriate treatment for terminal delirium in dying patients is
a. Selective serotonin reuptake inhibitors
b. Sedating antipsychotics such as chlorpromazine
c. Benzodiazepines such as valium
d. The presence of family at the bedside in the room
Question 1
A useful scale for staging individuals with dementia and determining the possible need for palliative care is
a. The Geriatric Depression Scale (GDS)
b. The Mini Mental State Exam (MMSE)
c. The Reisberg Functional Assessment Staging (FAST) scale
d. The Mini-Cog™ Screen for dementia
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