The nurse is caring for an older client who has tremors, rigidity, and a shuffling gait. The nurse explains to the family that one possible cause of this disease is:
1. increased acetylcholine in the brain.
2. decreased dopamine production.
3. decreased glutamate.
4. decreased serotonin in the brain.
Answer: 2
1. Acetylcholine is decreased in those with Alzheimer and Parkinson diseases.
2. The production of dopamine is decreased in Parkinson disease, which this client is exhibiting.
3. Glutamate is increased in Alzheimer disease and not associated with Parkinson disease.
4. A decrease in serotonin is thought to characterize depression and anxiety disorders.
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The nurse is assessing a patient with hyperthyroidism. What findings should the nurse expect?
A) Weight gain, constipation, lethargy B) Weight loss, nervousness, tachycardia C) Exophthalmos, diarrhea, cold intolerance D) Diaphoresis, fever, decreased sweating
The provider calculates the enteral nutrition needs for a nonambulatory patient and determines that the patient will need 300 mL of Ultracal every 4 hours. Which method of delivery will the nurse use to administer these feedings?
a. 300 mL every 4 hours given via syringe as a 10-minute bolus b. 300 mL every 4 hours given via enteral pump as a 45-minute infusion c. 75 mL per hour via enteral pump as a continuous infusion d. 150 mL every 2 hours via gravity infusion
The pregnant client asks the nurse about the type of exercises that are allowable during her pregnancy. The nurse would instruct the client that the safest exercise to engage in is which of the following?
1. Swimming 2. Water skiing 3. Aerobic exercising 4. Downhill skiing
A new community/public health nurse may want to use key informants to gather additional information. However, what might be equally informative and useful to do first?
A. E-mail message to all community residents B. Focus group of about 6 to 12 informal leaders from the community C. Newspaper survey to gather data via mail D. Survey sent home for all children's parents to complete E. Telephone survey to community adolescents