A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil.
Which of the following therapeutic effects should the nurse inform the family to expect?

Decreased urinary output.

Improved pulmonary function.

Improved cognitive function.

Decreased incidence of seizures.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Donepezil does not decrease urinary output. It works by increasing the amount of a certain naturally occurring substance in the brain.

Choice B rationale:

Donepezil does not improve pulmonary function. Its primary function is to improve mental function.

Choice C rationale:

Donepezil improves cognitive function. It can improve thinking ability and slow the loss of these abilities in people who have Alzheimer’s disease.

Choice D rationale:

Donepezil does not decrease the incidence of seizures. In fact, patients should inform their healthcare provider if they have a history of seizures before starting donepezil.

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Correct Answer is A

Explanation

Choice A rationale:

Levalbuterol is a short-acting beta agonist, which is commonly used for quick relief in an acute asthma attack.

Choice B rationale:

Cromolyn is used as a preventive treatment for asthma, not for treating an acute attack.

Choice C rationale:

Budesonide is a corticosteroid used for long-term control and prevention of symptoms, not for immediate relief during an acute asthma attack.

Choice D rationale:

Ipratropium is used as a bronchodilator for asthma, but it’s typically not the first choice for treating an acute asthma attack.

A. Dissolve the medication in 30 mL of water. B. Maintain the client in the supine position during medication administration. C. Add the medication to the enteral feeding formula. D. Flush the tube with 5 mL of water after administering the medication.

Correct Answer is A

Explanation

Choice A rationale:

Dissolving the medication in 30 mL of water is the correct action. This ensures that the medication is in a suitable form for administration via an NG tube and helps prevent the tube from becoming blocked.

Choice B rationale:

Maintaining the client in the supine position during medication administration is not recommended. This position increases the risk of aspiration. Instead, the client should be in an upright position during medication administration and for at least 30 minutes afterward.

Choice C rationale:

Adding the medication to the enteral feeding formula is not recommended. This can alter the effectiveness of the medication and can also clog the feeding tube.

Choice D rationale:

Flushing the tube with 5 mL of water after administering the medication is not enough. The tube should be flushed with at least 15-30 mL of water before and after medication administration to ensure that the entire dose has been administered and to prevent clogging of the tube.

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A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil.Which of the following therapeutic effects should the nurse inform the family to expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil.
Which of the following therapeutic effects should the nurse inform the family to expect?