An adult tells the nurse, "I'm taking large doses of vitamin B. I read that it prevents AD, but I don't understand how it works." Which statements would be applicable as the nurse responds to the individual? Select all that apply
a. "Research has not proven the effectiveness of B vitamins in Alzheimer's prevention."
b. "B vitamins lower the amino acid homocysteine, which is associated with a lower incidence of AD."
c. "A favorable response occurs when these vitamins block NMDA."
d. "B vitamins may reduce risk of AD by lowering cholesterol levels."
e. "B vitamins reduce the body's inflammatory response."
A, B
The keyed statements provide correct information regarding the inconclusiveness of B vitamin therapy in prevention of AD and its effects on lowering Homocysteine levels. The distracters provide misleading or incorrect information.
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The nurse counts the client's pulse rate and anticipates a faster rate in which of the following clients?
1. The sleeping client 2. The sedated client 3. The client with a fever 4. The client with hypothyroidism
The nurse is reading an article that states the intervention being proposed meets Stetler's level one evidence. How should the nurse interpret this information?
1. This is evidence based upon a single experimental study. 2. There is a great deal of evidence supporting this intervention. 3. Quasi-experimental studies were used to set this level of evidence. 4. This is the lowest level of evidence in Stetler's hierarchy.
Following an addisonian crisis, a patient's adrenal function has been gradually regained. The nurse should ensure that the patient knows about the need for supplementary glucocorticoid therapy in which of the following circumstances?
A) Episodes of high psychosocial stress B) Periods of dehydration C) Episodes of physical exertion D) Administration of a vaccine
An older adult patient recovering from a radical prostatectomy is discussing his postsurgical care plan with the nurse when he expresses concern about long-term impotence. The nurse initially responds
a. "I'd suggest a consult with a sexuality counselor for you and your partner." b. "When you've healed sufficiently, we can discuss prosthetic devices that help." c. "There are medications called phospho-diesterase inhibitors that minimize that problem." d. "While postsurgical erectile dysfunction is likely, it is generally temporary."