ACC Medication Management and Health Monitoring 2

Question 1

Which vital sign change should prompt a caregiver to contact a healthcare provider for an Alzheimer's patient?

Accepted Answer

Heart rate consistently above 100 bpm at rest

Answer

A sustained resting heart rate above 100 bpm (tachycardia) can indicate infection, dehydration, or cardiac issues requiring medical evaluation.

Question 2

Why should over-the-counter antihistamines (like diphenhydramine) be used cautiously in Alzheimer's patients?

Accepted Answer

They have anticholinergic effects that can worsen cognitive impairment and confusion

Answer

Diphenhydramine's anticholinergic properties block acetylcholine, which can worsen memory and confusion in Alzheimer's patients.

Question 3

An Alzheimer's patient refuses to swallow their pill. Which caregiver response is most appropriate?

Accepted Answer

Consult the pharmacist or prescriber about whether the medication can be crushed or given in a different form

Answer

Some medications cannot be crushed (e.g., extended-release formulas) — always verify with a pharmacist before altering dosage forms.

Question 4

What does 'PRN' mean on a medication order for an Alzheimer's patient?

Accepted Answer

Give as needed, based on specific symptoms or triggers

Answer

PRN (pro re nata) means 'as needed,' requiring caregivers to use clinical judgment about when specific symptoms warrant administration.

Question 5

Which behavior might indicate an Alzheimer's patient is experiencing uncontrolled pain?

Accepted Answer

Increased agitation, grimacing, or moaning

Answer

Patients with advanced Alzheimer's often cannot verbally express pain, so behavioral cues like agitation and grimacing serve as pain indicators.

(ACC) Alzheimers Caregiver Certification Practice Test