A nurse is reviewing the action of memantine. The nurse understands that this drug addresses which of the following?
A) Acetylcholine
B) Glutamate
C) Serotonin
D) Dopamine
Ans: B
Feedback:
Memantine, an NMDA receptor antagonist, is thought to work by decreasing the excitability of neurotransmission caused by an excess of the amino acid glutamate in the CNS.
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The nurse admits an older male patient who had abdominal surgery. Admission vital signs are P 73, R 20, BP 136/84 mm Hg. He is receiving intravenous (IV) fluids but has not re-quested pain medication since surgery
Seven hours later, his vital signs are P 98, R 26, BP 164/90 mm Hg, and he denies pain. Which intervention should the nurse implement? a. Administer an opioid medication by IV route. b. Check the surgical dressing for bleeding. c. Report the vital signs to the health care provider. d. Ask him about discomfort at the surgical site.
Which of the following are considered formal groups? Select all that apply
1. Several people work together to facilitate a policy change for discharge procedures. 2. The nurse managers meet once monthly to discuss issues varying from unit to unit. 3. The unit staff meet once monthly after work and discuss problems encountered recently. 4. Once every quarter the nursing supervisors work on projects as assigned by the nursing administrator.
Which of the following best describes how the federal government tries to both encourage and support rural health clinics under the Community Health Centers (CHC) program?
a. Allowing tax deductions for charitable contributions to rural health clinics (RHCs) b. Donating equipment and supplies to establish such clinics c. Reimbursing both Medicare and Medicaid at a higher rate than otherwise d. Requiring recipients to serve in a rural health clinic for 3 years in exchange for financial assistance while in school
The nurse assessing a newborn recognizes that the most critical physiologic change required of the newborn is:
a. Initiation and maintenance of respiration b. Closure of fetal shunts in the circulatory system c. Maintenance of a stable temperature d. Full function of the immune system at birth