The wife of a patient who has deterioration in memory asks the nurse whether her husband has Alzheimer's Disease. The nurse explains that a diagnosis of AD is usually made when what happens?
Blood analysis reveals increased amounts of B-amyloid protein
A CT scan of the brain shows brain atrophy
All other possible causes of dementia have been eliminated
A urine test shows high levels of isoprostanes.
The Correct Answer is C
A: "Blood analysis reveals increased amounts of B-amyloid protein." While the presence of B-amyloid protein is associated with Alzheimer's Disease (AD), blood tests for B-amyloid are not currently used for diagnostic purposes. The diagnosis of AD is more complex and involves a thorough clinical assessment.
B: "A CT scan of the brain shows brain atrophy." Brain atrophy can be observed in AD, but it is not definitive for diagnosis. Atrophy can occur in various forms of dementia and other neurological conditions. A CT scan alone cannot confirm Alzheimer's Disease.
C: "All other possible causes of dementia have been eliminated." A diagnosis of Alzheimer's Disease is typically made when other potential causes of dementia, such as vitamin deficiencies, thyroid problems, or other neurodegenerative diseases, have been ruled out through comprehensive evaluation. This ensures that the cognitive decline is specifically attributable to Alzheimer's.
D: "A urine test shows high levels of isoprostanes." Isoprostanes are markers of oxidative stress but are not used in the diagnosis of Alzheimer's Disease. There are no standard urine tests that can confirm AD, making this option irrelevant in the context of diagnosing the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: "Provide a non-skid mat to alleviate plate movement." Using a non-skid mat can help prevent the plate from moving, but it does not address the specific issue of homonymous hemianopsia, which affects the client's visual field and ability to see food on one side.
B: "Remind the client to look for food on the left side of the tray." This strategy directly addresses the challenge posed by homonymous hemianopsia, which results in the loss of vision in half of the visual field. Reminding the client to scan the left side of the tray helps ensure that they can locate and eat their food more effectively.
C: "Encourage the use of the wide grip utensils." While using wide grip utensils may assist with grip and dexterity, it does not specifically address the visual field deficit caused by homonymous hemianopsia. This option does not improve the client’s ability to see the food they need to eat.
D: "Encourage the client to use his right hand when feeding himself." Using the right hand may not be beneficial for the client. If the client has right-sided stroke effects, using the right hand could be difficult due to weakness or hemiparesis. Promoting the use of the unaffected side is usually more effective in fostering independence in eating.
Correct Answer is A
Explanation
A. Levodopa/carbidopa is the primary medication used to treat Parkinson’s disease by increasing dopamine levels in the brain. Levodopa is converted into dopamine, while carbidopa prevents its breakdown before reaching the brain, improving symptoms such as tremors, bradykinesia, and muscle rigidity. Clients should be educated on potential side effects such as orthostatic hypotension, dyskinesia, and nausea.
B. Piperacillin/tazobactam is a broad-spectrum antibiotic used to treat bacterial infections. It has no role in the management of Parkinson’s disease.
C. Levothyroxin is a synthetic thyroid hormone used to treat hypothyroidism by replacing thyroid hormones. It is not indicated for the treatment of Parkinson's disease and would not be relevant to the client's management plan as it does not impact dopamine levels or Parkinson’s symptoms.
D. Carbamazepine is an anticonvulsant and mood stabilizer used for conditions such as seizures and bipolar disorder, primarily used to treat epilepsy and certain types of nerve pain. It does not have a therapeutic effect in Parkinson’s disease.
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