A client receives a diagnosis of Alzheimer dementia. The client's physician prescribes donepezil (Aricept?). "How does this work? Will this cure him?" the client's spouse asks. Which is the most appropriate nursing response?
A) "This medication delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the dementia."
B) "This medication encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."
C) "This medication delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the dementia."
D) "This medication encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."
A
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Which of the following diagnostic and assessment findings from among the patients on a geriatric medical unit most warrants further investigation?
A) An 81-year-old woman's glomerular filtration rate (GFR) is low. B) A 78-year-old male's stomach pH is increased. C) A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy. D) A 78-year-old man has recently developed urinary incontinence.
A nurse is making a bed for a client confined to bed. Which of the following positions should the nurse place the client in to facilitate bedmaking?
A) Lateral position B) Supine position C) Prone position D) Fowler's position
During an assessment, the nurse asks a patient from a non-English-speaking culture which types of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient this question?
A) Analyze for herb–drug interactions B) Understand the patient's philosophy of alternative health care C) Determine the types of medications the patient will need to be prescribed D) Explain to the physician the patient's preference for nontraditional medicine approaches
Which of the following groups would most likely be considered a self-selected cohort?
A) Obese, Hispanic females B) Cigarette smokers C) Patients with hypertension who take diuretics D) Teenage females