The nurse is administering donepezil (Aricept) to a client with stage 1 Alzheimer's disease. Based on this drug's mechanism of action, the nurse will seek evidence of improvement in the client's:

1. Ability to remember
2. Ability to tolerate stress
3. Social behaviors
4. Delusions and hallucinations


ANS: 1
Donepezil is a cholinesterase inhibitor that increases the concentration of acetylcholine. Acetyl-choline is needed for intact memory and for learning. Thus the nurse will seek evidence of im-proved memory. 2. BuSpar might produce this effect. 3. Anticonvulsants might produce im-proved social behaviors. 4. Neuroleptics might produce reduction in these symptoms.

Nursing

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Which generic term refers to a heterogeneous group of disorders manifested as significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities?

a. educational delays c. mental deficiency b. learning disability d. mental retardation

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An electrician who has been working 14 to 16 hour/day for several weeks in order to ensure the financial survival of his business presents to his family physician with complaints of persistent headaches and insomnia

His family physician attributes the physical complaints to the ongoing stress that the man has been undergoing. Which of the following factors has most likely contributed the most to the man's response to this stressful period of his life? A) The fact that he has previously had difficulty coping with stress B) The fact that he is not physically active on a regular basis C) The fact that his company is heavily in debt D) The fact that he takes diuretic medication for his hypertension

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A nurse is choosing a vein to start an IV infusion in a patient. Which of the following are recommended veins to use when initiating an IV infusion? Select all that apply

A) Cephalic vein B) Metacarpal C) Antecubital vein D) Leg veins E) Basilic veins F) Superficial veins on the dorsal aspect of the hand

Nursing

Stimulating the vagus nerve typically produces:

a. A decrease in the heart rate b. An increase in the heart rate c. An increase in stroke volume d. No change

Nursing