A nursing student asks the nurse to differentiate the pathology of Alzheimer's disease from that of Parkinson's disease.
Which description is correct?
Parkinson's disease is characterized by an imbalance of dopamine and acetylcholine.
Parkinson disease involves increased dopamine production and decreased acetylcholine.
Alzheimer’s disease is caused by decreased amount of dopamine and degeneration of cholinergic neurons.
Alzheimer’s disease involves a possible excess of acetylcholine and neuritic plaques.
The Correct Answer is A
Choice A rationale
Parkinson's disease is characterized by an imbalance of dopamine and acetylcholine, primarily due to the degeneration of dopamine-producing neurons in the substantia nigra. This imbalance results in the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia.
Choice B rationale
Parkinson's disease involves decreased dopamine production, not increased. The disease is caused by the progressive loss of dopamine-producing neurons in the brain, leading to reduced dopamine levels and an imbalance with acetylcholine.
Choice C rationale
Alzheimer's disease is not primarily characterized by a decrease in dopamine. Instead, it involves the degeneration of cholinergic neurons and a deficiency in acetylcholine, which is crucial for memory and cognitive functions.
Choice D rationale
Alzheimer's disease is associated with a deficiency of acetylcholine rather than an excess. The disease is also characterized by the presence of neuritic plaques and neurofibrillary tangles in the brain, which contribute to cognitive decline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Anticholinergic drugs do not cause pupil restriction; they relax the muscles around the eye, leading to dilation.
Choice B rationale
Decreased lacrimal secretions are a secondary effect of anticholinergics and not their primary purpose in ophthalmology.
Choice C rationale
Anticholinergics cause pupil dilation (mydriasis) by relaxing the muscles that constrict the pupil, allowing for a better examination of the eye's interior.
Choice D rationale
Sedation is not a primary effect of anticholinergics used in ophthalmology.
Correct Answer is C
Explanation
Choice A rationale
Renal function tests are not specifically required for propranolol administration unless there are existing renal concerns. Propranolol is primarily metabolized by the liver, not the kidneys.
Choice B rationale
While it is important to consider drug interactions, the primary concern with propranolol in this patient is the history of asthma and diabetes, not herbal medication interactions.
Choice C rationale
Propranolol, a non-selective beta-blocker, can exacerbate asthma symptoms and mask hypoglycemia in diabetic patients. Consulting with the doctor to consider a different antihypertensive medication that does not have these risks is a prudent approach.
Choice D rationale
While monitoring serum glucose levels is important, administering propranolol in a patient with a history of asthma and diabetes poses significant risks. An alternative medication should be considered. .
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