Which assessment finding in a client with Alzheimer disease would the nurse directly attribute to the disease's effect on acetylcholine?
1. Darkened urine
2. Inability to retain new information
3. Muscle cramps
4. Vomiting and diarrhea
Correct Answer: 2
Rationale 1: Darkened urine does not occur as an effect of the disease on acetylcholine.
Rationale 2: Acetylcholine functions within the hippocampus (an area of the brain responsible for learning and memory) and in other portions of the cerebral cortex. The inability to recall information is among the early symptoms of the disease.
Rationale 3: Muscle cramps do not occur as an effect of the disease on acetylcholine.
Rationale 4: Vomiting and diarrhea do not occur as an effect of the disease on acetylcholine.
Global Rationale: Acetylcholine functions within the hippocampus (an area of the brain responsible for learning and memory) and in other portions of the cerebral cortex. The inability to recall information is among the early symptoms of the disease. Darkened urine, muscle cramps, vomiting, and diarrhea do not occur as an effect of the disease on acetylcholine.
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