A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because "Mother has not improved one bit!" Which response by the nurse is appropriate?

"Increase the dosage to twice daily."

"Take the medication on an empty stomach for Improved absorption."

"It takes time for the cure to take effect."

"It may take up to 6 weeks to see an improvement."

Answer and Explanation

The Correct Answer is D

A.   "Increase the dosage to twice daily.": Changing the dosage should only be done under the guidance of the prescriber based on clinical assessment, not in response to perceived lack of improvement.
B.   "Take the medication on an empty stomach for improved absorption.": While taking donepezil with or without food may affect absorption, this instruction is not directly related to the timing of improvement in symptoms.
C.   "It takes time for the cure to take effect.": Alzheimer's disease cannot be cured, and this statement may provide false hope to the patient's daughter.
D.   "It may take up to 6 weeks to see an improvement.": This response provides accurate

information about the expected timeline for therapeutic effects of donepezil and encourages patience in observing improvement.

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Correct Answer is D

Explanation

A. Assessment of the patient's pain level: While pain assessment is important, the patient's lethargy and shallow respirations indicate a potential opioid overdose, which takes priority.
B. Close observation of signs of opioid tolerance: The patient's symptoms are indicative of opioid overdose, not tolerance.
C. Immediate intubation and artificial ventilation: While respiratory support may eventually be necessary if the patient's condition deteriorates further, administering naloxone to reverse the opioid effects is the initial priority.
D. Administration of naloxone: Naloxone is an opioid antagonist used to reverse opioid overdose by blocking opioid receptors, which can rapidly restore normal respiratory function and
consciousness in patients experiencing opioid-induced respiratory depression.

A. They have a lower dependency potential than agonists. B. They have a higher potency than agonists C. They have anti-inflammatory effects. D. They are given to reverse the effects of opiates

Correct Answer is A

Explanation

A. Partial agonists like nalbuphine have a lower dependency potential than full agonists. This means they are less likely to lead to physical dependence or tolerance when used for pain
management.

B. Partial agonists do not necessarily have a higher potency than agonists. Potency refers to the dose of a drug required to produce a specific effect, which can vary among different drugs regardless of their classification as agonists or partial agonists.
C. Partial agonists like nalbuphine are not typically used for their anti-inflammatory effects.

They are primarily used for pain management.

D. Partial agonists like nalbuphine are not typically used to reverse the effects of opiates. They may be used in certain situations to manage opioid-induced side effects or in cases of opioid overdose, but their primary indication is for pain management.

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A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because "Mother has not improved one bit!" Which response by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The drug nalbuphine is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists?

Correct Answer is A

Explanation

During a routine appointment, a patient with a history of seizures is found to have a phenytoin level of 23 mcg/mL. What concern will the nurse have, if any?

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?

The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?

A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because "Mother has not improved one bit!" Which response by the nurse is appropriate?

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