The nurse is reviewing medication orders for a patient with Alzheimer disease. Which medication should the nurse expect to be prescribed for this patient?
1. rivastigmine tartrate (Exelon)
2. adrenocorticotropic hormone (ACTH)
3. meperidine (Demerol)
4. acetaminophen (Tylenol)
Correct Answer: 1
Rivastigmine tartrate (Exelon) is used to improve the ability to carry out activities of daily living. It decreases agitation and delusions and improves cognitive function. Adrenocorticotropic hormone (ACTH) is a natural hormone, but it has no known ability to treat Alzheimer disease. Meperidine (Demerol) is a narcotic used to treat moderate to severe pain and would not be indicated in treatment of Alzheimer disease. Acetaminophen (Tylenol) is a nonsteroidal anti-inflammatory medication that would not be used routinely to treat Alzheimer disease.
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A dark-skinned client was admitted in respiratory distress. When planning to assess for cyanosis, the nurse recognizes that:
1. It is not possible to assess color changes in clients with dark skin. 2. Cyanosis can be seen on the lips and mucous membranes of clients with dark skin. 3. Cyanosis in clients with dark skin is assessed through the sclera. 4. Cyanosis will blanch with direct pressure to the soles of the feet in dark-skinned clients.
The nurse executive of a major medical center and the dean of a school of nursing have entered into an affiliation agreement
The medical center will supply clinical sites and preceptors to students and the nursing school will supply research expertise and other academic support. How will this affiliation affect the medical center's plans to implement evidence-based practice (EBP) and evidence-based management (EBM)? 1. This affiliation should have very little effect on these two initiatives. 2. The affiliation should be helpful in initiating these practice and management styles. 3. The affiliation will help with EBP, but will likely have little effect on EBM. 4. The affiliation will help with EBM, but will likely have little effect on EBP.
The parent cannot understand why the 12-month-old can throw a ball but cannot catch the ball. Which statement by the nurse helps the parent understand this?
A. Development of the proximodistal sequence has been delayed B. "It takes more strength to catch a ball with two hands than throw with one hand" C. The inability to catch the ball indicates a problem with eye hand coordination D. "Maturation of neurological and muscular functioning has not occurred for this skill"
A patient's pressure ulcer is 3 cm in diameter and 1 cm deep and has tunneling on the left side. The ulcer holds 17 mL of normal saline and has no visible fascia or bone in the ulcer. What pressure ulcer stage should the nurse document?
a. Stage 1 b. Stage 2 c. Stage 3 d. Stage 4