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 B

Explanation

Choice A rationale:

Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.

Choice B rationale:

Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.

Choice C rationale:

Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.

Choice D rationale:

Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.

A. "Using morphine PCA increases the client's risk of toxicity.” B. "Diarrhea is an adverse effect of morphine PCA.” C. "Check the client's pain level every 8 hours.” D. "Instruct the client's visitors not to operate the PCA pump.”

Correct Answer is D

Explanation

Choice Arationale:

Using PCA does not necessarily increase the client’s risk of toxicity. PCA allows the client to self-administer preset doses of pain medication, which can lead to better pain control with less risk of overdose.

Choice B rationale:

Diarrhea is not a common adverse effect of morphine. Constipation, not diarrhea, is a common side effect due to slowed gastrointestinal motility.

Choice Crationale:

Checking the client’s pain level every 8 hours is not sufficient when using PCA. Pain levels should be assessed more frequently, ideally before and after each administration of the medication. This allows for timely adjustments to the medication regimen if needed.

Choice D rationale:

Instructing the client’s visitors not to operate the PCA pump is crucial. Only the patient should administer doses to prevent overdose.

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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?