The nurse is relating medication classifications for Alzheimer's type dementia to the pathophysiology of the disease process. Which neurotransmitter does the medication on the market currently impact?
A) Dopamine
B) Acetylcholine
C) Norepinephrine
D) Epinephrine
B
Feedback:
Current drugs approved for treatment of dementia of the Alzheimer's type include cholinesterase inhibitors, which increase acetylcholine by inhibiting cholinesterase, the enzyme that degrades it. When these drugs, tacrine (Cognex), donepezil (Aricept), or rivastigmine (Exelon), are administered in the early to middle stages of Alzheimer's disease, some client's improve.
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A client who is being observed for signs of increasing intracranial pressure (ICP) after a head injury requires suctioning for copious secretions. The nurse must remember which of the following?
a. Nasal suctioning is prohibited for this client. b. Suction pressure should be limited to 80 to 100 mm H2O for this client. c. A vagal response may be elicited from suctioning, resulting in an increased ICP. d. Free-flow oxygen should be provided when suctioning the client.
The LPN is leading a cardiac rehabilitation support group. How can the nurse best demonstrate meeting the clients need holistically?
A) Lead an exercise, show a video about healthy lifestyle changes, and invite a spiritual leader to talk with the group. B) Have the clients share various healthy low-cholesterol recipes and participate in a cooking class. C) Have the clients discuss ways to relieve stress and practice stress reduction. D) Demonstrate low-impact aerobic exercise to the group and bring in a lecturer on Tai Chi.
An older client begins to cry when talking about the death of a daughter 20 years ago. Which response should the nurse make?
1. Assess the client for depression. 2. Touch the client's arm and listen in silence. 3. Ask the client to describe the details of the death. 4. Leave the client alone so they can cry.
When preparing to administer a hepatitis B vaccine to a newborn, the nurse should:
1. obtain a syringe with a 25-gauge, 5/8-inch needle. 2. confirm that the newborn's mother has been infected with the hepatitis B virus. 3. assess the dorsogluteal muscle as the preferred site for injection. 4. confirm that the newborn is at least 24 hours old.