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Author Question: Debra is suffering from dementia related to Parkinson's disease. While at a doctor's visit, a ... (Read 20 times)

burchfield96

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on: Jul 19, 2018
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

Question 2

Henry is a 68-year-old man who has been showing signs of Alzheimer's disease, including visual hallucinations and disturbed behaviors.
 
  When he was placed on antipsychotic medications, Henry suffered significant adverse reactions. This could indicate that Henry does not have Alzheimer's disease, but which of the following conditions?
  A) Lewy body disease
  B) Huntington's disease
  C) Pick's disease
  D) Creutzfeldt-Jakob disease


essyface1

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Reply #1 on: Jul 19, 2018
Answer to Question 1

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 acetylcholinesteras e, which lengthens the potential for cholineregic activity.

Answer to Question 2

Ans: A
Feedback:
Lewy body disease is sometimes mistaken for AD because of clinical similarity, but there are earlier and more prominent visual hallucinations, parkinsonian features, and disturbed behaviors. A distinguishing characteristic is significant adverse reactions to antipsychotic drugs.


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