M.E.'s son asks whether medications can help her AD. How would you respond?
What will be an ideal response?
Alzheimer medications may help for a time with memory symptoms and other cognitive changes.
None of these drugs alters the course of the disease or provides a cure. Two types of drugs are
currently used to treat cognitive symptoms: cholinesterase inhibitors and memantine (Namenda).
Cholinesterase inhibitors improve cholinergic neurotransmission in the brain by delaying the
destruction of acetylcholine (ACh) by the enzyme acetylcholinesterase. This action slows the onset
of cognitive decline in some patients. Examples include donepezil (Aricept), galantamine (Reminyl),
and rivastigmine (Exelon). Memantine (Namenda) is the first of a new class of drugs called low to
moderate affinity N-methyl-d-aspartate (NMDA) receptor antagonists. This drug blocks excess amounts
of glutamate that can damage nerve cells. It is indicated for advanced AD and has been shown to
slow the pace of deterioration. This drug is usually given with a cholinesterase inhibitor.
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An emergency department (ED) manager has an interview scheduled for 8:00 A.M. the next morning. The manager?s usual hours are 8:00 A.M. to 4:00 P.M. This manager has been working as staff due to an increased volume of clients
What action should the manager take to prepare for this interview? 1. Reschedule the interview to a later time. 2. Arrive at work early that morning to prepare for the interview. 3. Arrive at the usual time and conduct the interview. 4. Have human resources conduct the interview.
The nurse obtains initial vital signs on a patient 2 weeks posttransplant who presents for follow-up monitoring to the outpatient transplant clinic. Which assessment finding by the nurse requires immediate action?
a. Blood pressure of 100/60 mm Hg b. Serum creatinine of 1.5 mg/dL c. Hemoglobin of 9.2 gm/dL d. Tenderness over graft site
Some institutions have initiated variable staffing patterns as a response to the nursing shortage. Which of the following staffing patterns lowers the cost per patient-day?
a. 10-hour shifts b. 12-hour shifts c. 8-hour shifts d. Baylor plan/weekend option
Identify the hallmark of placenta previa that differentiates it from abruptio placenta
a. Sudden onset of painless vaginal bleedingb. Board-like abdomen with severe painc. Sudden onset of bright red vaginal bleedingd. Severe vaginal pain with bright red bleeding