The nurse is caring for a patient with Alzheimer disease. The patient has been taking donezepil (Aricept), and reports that has been helping but that it does not seem to be working as well as it used to
The health care provider writes an order for memantine (Namenda). Which statement will the nurse include in the education for the patient and caregiver?
1. "Memantine works by increasing activation of glutamine transmission."
2. "Memantine works by reducing activation of glutamine transmission."
3. "Memantine will enhance breakdown of acetylcholine."
4. "Memantine will inhibit breakdown of acetylcholine."
Answer: 2
Explanation: Memantine is an N-methyl d-aspartate glutamate receptor antagonist, which means it works by inhibiting or reducing activation of glutamine transmission. Donezpril reduces the breakdown of acetylcholine. Reducing activation of glutamine transmission and reducing the breakdown of acetylcholine may slow the progress of dementia associated with Alzheimer disease.
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A patient who sustained a chest injury has developed tracheal deviation to the left side. The emergency department nurse would provide which equipment for immediate treatment of this complication?
1. A venous cut down tray 2. A chest tube 3. Intubation equipment 4. 18-gauge needle
A nurse returns to work to find that a substitute nurse has changed the treatment plan of her favorite client. In the presence of the client, the nurse becomes angry and critical of the other nurse. This is an example of
a. overinvolvement. b. client-centered approach. c. professional focus. d. disengagement.
Which of the following patients would the nurse anticipate requiring the placement of a central venous catheter?
a. A patient in same-day surgery who might require blood transfusions b. A patient in the intensive care unit requiring multiple simultaneous intravenous medications c. A patient in the cardiac care unit diagnosed with possible myocardial infarction d. A patient on the surgical unit recovering from hernia repair
After leaving the home of a new mother and her newborn baby, the student nurse asked the instructor, "What will the new mom do when we aren't there to help?" How did the instructor probably reply?
A. "I am going to ask you to come back tomorrow to help the new mom further." B. "Mothers have been having and caring for babies since the world began without nurses. Why would the new mother have any problems?" C. "We have to assume that the new mom will be able to manage without us." D. "We'll have another nurse stop by tomorrow to help the new mom."