Debra is suffering from dementia related to Parkinson's disease. While at a doctor's visit, a cholinesterase inhibitor is prescribed for Debra. The nurse knows that this type of medication would be prescribed for Debra to do which of the following?

A) Increase the number of neurons in the brain
B) Decrease tremors associated with Parkinson's disease
C) Decrease combative behaviors and hallucinations
D) Slow the deterioration of memory and function


Ans: D
Feedback:
Compelling evidence shows that drugs that inhibit ACh destruction or increase cholinergic activity can slow deterioration of memory and function. Cholinesterase inhibitors increase availability of ACh by interfering with the enzyme that breaks it down. These centrally acting drugs help elevate the level of ACh by decreasing the binding sites of acetylcholinesterase, which lengthens the potential for cholineregic activity.

Nursing

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A nurse is performing an admission assessment on a middle-age patient. A normal change seen in this age group includes which of the following? (Select all that apply.)

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One outcome for a patient on bed rest is that the patient has intact skin within 2 weeks. Which rationale pertaining to the patient best justifies the suggestion by the nurse to use a support sur-face or special mattress?

a. It eliminates pain and discomfort. b. It prevents joint contractures. c. It eliminates the need for turning. d. It reduces risks of immobility.

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One of the interventions for a client with a nursing diagnosis of Impaired Swallowing is to position the client upright in a chair (60 to 90 degrees) during feeding times. The modifier in this intervention is which of the following?

1. 60 to 90 degrees during feeding times 2. Position in chair 3. Upright in a chair 4. Impaired swallowing

Nursing

A middle-aged woman with a busy family life has been diagnosed with a chronic illness. The family has received support from their relatives and the woman and her husband have joined a community support group

These relationships will help the family achieve what? A) Adjustment B) Adaptation C) Perception change D) First order change

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