The nurse is administering donepezil (Aricept) to a patient with stage 1 Alzheimer's dis-ease. Based on this drug's mechanism of action, the nurse will seek evidence of im-provement in the patient's:
a. Social behaviors
b. Existing delusions
c. Ability to tolerate stress
d. Ability to remember recent events
ANS: D
Donepezil is a cholinesterase inhibitor that increases the concentration of acetylcholine. Ace-tylcholine is needed for intact memory and for learning. This medication is not prescribed for the conditions identified in the remaining options.
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Patients who survive shock may be discharged home to finish the recovery phase of their disease process. The home health nurse plays an integral part in monitoring these patients
What is an important part of the care given by the home health nurse? A) Providing supervision to home health aides in providing necessary patient care B) Assisting patient and family to identify and mobilize community resources C) Providing ongoing medical care during the family's rehabilitation phase D) Reinforcing the importance of continuous assessment to prevent further episodes of shock
If a client admitted to the hospital for treatment of atrial fibrillation complains of dyspnea and chest pain, the nurse would suspect
a. heart block. b. myocardial infarction. c. pulmonary edema. d. pulmonary emboli.
A terminally ill patient is receiving palliative care. What does the nurse understand the purpose of this type of care to be?
1. alleviating suffering and enhancing quality of life 2. reducing pain and preventing medical complications 3. controlling side effects of illness while postponing death 4. withdrawing all medical care to allow natural death
A 13-year-old girl has been brought to the outpatient clinic with complaints of pain in her vaginal region after being sick with Influenza A for the last week. The girl states that she can see a raised edge, and it is "oozing."
The nurse should anticipate: 1. Providing a Sitz bath and ice. 2. Providing education about proper hygiene to the area. 3. Placing a Foley catheter for urination in order to keep the area clean. 4. Educating the girl about not wearing cotton underwear.