On the basis of current knowledge of neurotransmitter effects, the nurse could anticipate that the
treatment plan for a client with memory difficulties might include orders to administer medication
designed to
a. inhibit GABA.
b. increase dopamine at receptor sites.
c. decrease dopamine at receptor sites.
d. prevent destruction of acetylcholine.
ANS: D
Increased acetylcholine plays a role in learning and memory. Preventing destruction of acetylcholine
by acetylcholinesterase would result in higher levels of acetylcholine, with the potential for
improved memory. Option A: GABA is known to affect anxiety level rather than memory. Option B:
Increased dopamine would cause symptoms associated with schizophrenia or mania rather than
improve memory. Option C: Decreasing dopamine at receptor sites is associated with Parkinson's
disease rather than improving memory.
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A child is being discharged after a pacemaker insertion. Which teaching point by the nurse takes priority?
A. Any prescribed activity restrictions B. Need for a healthy balanced diet C. Schedule for pacemaker testing D. Signs of wound site infection
The community has a large number of immigrants. The nurse organizes a home visiting program to this community area to address family health concerns and provide health information. This is considered:
1. Care of the sick. 2. Case finding and referral. 3. Health promotion and illness prevention. 4. Health protection.
A client with alterations in the bladder is about to undergo a cystoscopy. The nurse should teach the client:
1. that burning on urination can occur for a couple of days post-procedure. 2. that the client should increase fluids before the test. 3. that bed rest is recommended for 2 days following the test. 4. to decrease fluid intake after the test.
Julia has just graduated with her Bachelor of Science in Nursing degree from her state university and has begun seeking employment
However, she is anxious about her level of clinical competence due to the fact that she completed far fewer clinical hours than many practicing nurses. Which of the following has the potential to ease Julia's transition to practice? A) Completing a residency or internship at the hospital where she will be employed B) Auditing courses in a nonnursing, health-related discipline C) Working for several months as a nursing assistant in order to gain confidence D) Taking online courses in advanced nursing practice