A patient with mild symptoms of Alzheimer Disease is prescribed donepezil, Which statement made by the patient indicates the need for further teaching?

“The drug will improve transmission by neurons in my brain."

“I may experience an upset stomach while taking this drug."

"I will take the drug every night at bedtime with a snack."

"The drug will stop damage to the neurons in my brain."

Answer and Explanation

The Correct Answer is D

Choice A rationale: Donepezil works by enhancing the action of acetylcholine, improving neuronal transmission, so this statement is accurate.
Choice B rationale: Upset stomach is a common side effect of donepezil, and the patient's awareness of this potential side effect indicates understanding.
Choice C rationale: Taking donepezil with food can reduce the risk of stomach upset, so this statement is appropriate.
Choice D rationale: Donepezil helps manage symptoms of Alzheimer's Disease but does not stop the progression or damage to neurons. Further education is needed on the realistic expectations of the medication.

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Correct Answer is B

Explanation

Choice A rationale: Nasal congestion is a common side effect of alpha1-adrenergic blockers, not a cause for concern.
Choice B rationale: Orthostatic hypotension is a potential adverse effect of alpha1- adrenergic blockers like prazosin. It can lead to dizziness and falls, particularly when moving from a lying or sitting position to a standing one.
Choice C rationale: Inhibition of ejaculation is a potential side effect of alpha1- adrenergic blockers but is not of the most concern compared to orthostatic hypotension.
Choice D rationale: Reflex tachycardia is not a typical adverse effect of alpha1- adrenergic blockers.

A. Renal function B. Apical pulse C. Serum potassium D. Risk for bleeding E. Pregnancy status

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale: NSAIDs, including ketorolac, can affect renal function and may require dose adjustment in patients with impaired renal function.
Choice B rationale: Apical pulse is not typically assessed before administering ketorolac.
Choice C rationale: Serum potassium is not directly affected by ketorolac.
Choice D rationale: Ketorolac is associated with an increased risk of bleeding, so assessing the patient's bleeding risk is important.
Choice E rationale: Ketorolac is contraindicated in pregnant women, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus in the fetus.

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A patient with mild symptoms of Alzheimer Disease is prescribed donepezil, Which statement made by the patient indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving Prazosin, a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

Correct Answer is B

Explanation

Before administering intravenous ketorolac (NSAID), it is essential that the nurse check the client's (select all that apply)

Correct Answer is ["A","D","E"]

Explanation

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