A nurse is developing a plan of care for a client diagnosed with schizophrenia. The nurse integrates knowledge of this disorder, identifying which neurotransmitter as being primarily involved?
A) Acetylcholine
B) Dopamine
C) Norepinephrine
D) Serotonin
Ans: B
Abnormally high activity of dopamine has been associated with schizophrenia. Loss of cholinergic neurons is associated with Alzheimer's disease. Decreased norepinephrine is associated with depression; excessive norepinephrine is associated with manic symptoms. Increased serotonin is associated with mania; decreased serotonin is associated with depression and insomnia.
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The nurse is working with a child newly enrolled in an English as a Second Language class. The nurse wants to teach the child about the importance of hand washing before meals and to not eat food dropped on the exam room floor
The best way to evaluate the child's understanding of hygienic nutrition is to: 1. Have the child repeat his interpretation of the information that was taught. 2. Schedule a medical interpreter to accompany the patient to his next visit. 3. Provide written materials in English about hygiene and diet for the client to take home. 4. Have the nurse model proper hand washing before examining the child, and throw out the dropped cookie.
A child with cerebral palsy has undergone surgery for placement of a baclofen pump. Which of the following would the nurse include when teaching the parents about caring for their child?
A) Waiting 48 hours before allowing the child to take a tub bath B) Not allowing the child to sleep on his side for about 4 weeks C) Calling the physician if the child's temperature is over 100.5°F D) Discouraging the child from stretching or bending forward for 4 weeks
The nursing instructor teaches student nurses about the Food and Drug Administration (FDA) Pregnancy Categories. What is the best information to include?
1. Food and Drug Administration (FDA) Pregnancy Category C is safe to use during pregnancy. 2. Food and Drug Administration (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women. 3. Food and Drug Administration (FDA) Pregnancy categories for individual drugs seldom change once they are established. 4. Food and Drug Administration (FDA) Pregnancy categories are based on studies using clinical human research trials. 5. Food and Drug Administration (FDA) Pregnancy Category X has been associated with teratogenic effects.
A client with open-angle glaucoma is prescribed an alpha2-adrenergic agonist. What will the nurse instruct the client about this medication?
Standard Text: Select all that apply. 1. "You may feel like there is something in your eye when using this medication." 2. "You may have headaches and feel sleepy with this medication." 3. "You may have blurred vision when using this medication." 4. "You may feel nervous or anxious, but this is rare." 5. "Acute eye pain is expected when taking this medication."