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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The benefit to eating frequent small meals during the day: Nonselective beta-blockers can mask symptoms of hypoglycemia, making it harder for patients with diabetes to recognize low
blood sugar levels. Eating frequent small meals can help stabilize blood sugar levels and reduce the risk of hypoglycemia.
B. Perform more frequent blood glucose checks due to effects of the drug: While it's important for patients with diabetes to monitor their blood glucose levels regularly, this instruction doesn't directly address the potential masking of hypoglycemia symptoms by beta-blockers.
C. The need to weight himself once per week at the same time of the day: Weight monitoring is important for overall health management but is not specifically related to the use of nonselective beta-blockers in diabetes management.
D. The correct method for taking their own apical pulse: Knowing how to take one's own apical pulse is important for some individuals, but it's not directly related to the management of
diabetes with nonselective beta-blockers.
Correct Answer is ["28"]
Explanation
2 cups of coffee: 2 cups 8 oz/cup = 16 oz
1 soft drink: 12 oz
Total intake from 1500 to 2100 = 16 oz (coffee) + 12 oz (soft drink) = 28 oz
From 2100 to 2300 (2 hours):
No additional intake mentioned in the question.
Total intake from 1500 to 2300 = 28 oz (from 1500 to 2100)
Therefore, the total intake from 1500 to 2300 is 28 ounces.
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