For client and family teaching, the nurse will rely on information that Alzheimer's disease is cur-rently best explained as being related to:

1. GABA excess
2. Dopamine excess
3. Serotonin deficiency
4. Acetylcholine deficiency


ANS: 4
Decreased levels of acetylcholine are thought to produce many of the behavioral symptoms of Alzheimer's disease. The other conditions have not been implicated in Alzheimer's disease.

Nursing

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Nurses in acute care settings must work with other health care team members to maintain quality care while facing pressures to care for patients who are hospitalized for shorter periods of time than in the past

To ensure positive health outcomes when patients return to their homes, what action should the nurse prioritize? A) Promotion of health literacy during hospitalization B) Close communication with insurers C) Thorough and evidence-based discharge planning D) Participation in continuing education initiatives

Nursing

A patient with head trauma is scheduled for a gastrostomy tube to be inserted. The spouse asks the nurse why an intravenous (IV) cannot be used. What is the nurse's best response?

a. "The gastrostomy tube will allow us to give medications as well as feedings." b. "Research has shown that a gastrostomy tube is safer for patients and maintains function of the gut." c. "It will be more expensive in the long run to use a gastrostomy tube than an IV." d. "The gastrostomy placement is noninvasive, and the patient will be more content being fed through the stomach."

Nursing

A client is admitted to a medical unit for complications of type I diabetes mellitus. Which nursing diagnosis would be of highest priority at this time?

A) Ineffective health maintenance related to the complexity of therapeutic regimen B) Noncompliance related to restrictive lifestyle C) Imbalanced nutrition: less than body requirements related to inability to use glucose D) Powerlessness related to perceived lack of personal control

Nursing

A nurse is caring for a client with chronic obstructive pulmonary disease receiving

supplemental oxygen through a Venturi mask. What measure should the nurse employ in this client? A) Connect a humidifier at one end of the mask adapter B) Ensure that the windows of the mask remain exposed to room air C) Set flow rate required to keep the bag inflated one-third full D) Place a folded towel behind the client's neck to hyperextend it

Nursing