Author Question: Which statement best explains why structural changes occur within the brains of people with ... (Read 59 times)

s.tung · **on:** Jul 23, 2018

Which statement best explains why structural changes occur within the brains of people with Alzheimer's disease?

1. Increased acetylcholine levels
2. Increases in blood pressure and cholesterol levels
3. Chronic inflammation and oxidative cellular damage
4. Cerebral bleeding and associated hypoxia

Question 2

The client receives prednisone as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse?

1. No, because this medication has serious adverse effects.
2. No, your doctor said the best treatment for your illness is to alternate medications.
3. No, your body would get used to it and it would lose its effectiveness.
4. No, because your illness is in remission and you don't need medication now.

ladyjames123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3
Rationale 1: There is no increase of acetylcholine levels.
Rationale 2: Blood pressure and cholesterol levels are not implicated.
Rationale 3: Alzheimer's disease is characterized by amyloid plaques and neurofibrillary tangles that most likely occur from chronic inflammation or oxidative cellular damage.
Rationale 4: Cerebral bleeding and associated hypoxia are not implicated.
Global Rationale: Alzheimer's disease is characterized by amyloid plaques and neurofibrillary tangles that most likely occur from chronic inflammation or oxidative cellular damage. There is no increase of acetylcholine levels.
Blood pressure and cholesterol levels are not implicated. Cerebral bleeding and associated hypoxia are not implicated.

Answer to Question 2

1
Rationale 1: Systemic glucocorticoids are reserved for the short-term treatment of severe disease because of potentially serious adverse effects.
Rationale 2: Medications are alternated due to the serious effects of glucocorticoids, not because this is the best treatment for the illness.
Rationale 3: The body does not get used to systemic glucocorticoids.
Rationale 4: There is no evidence that the client's illness is in remission.
Global Rationale: Systemic glucocorticoids are reserved for the short-term treatment of severe disease because of potentially serious adverse effects. Medications are alternated due to the serious effects of glucocorticoids, not because this is the best treatment for the illness. The body does not get used to systemic glucocorticoids. There is no evidence that the client's illness is in remission.