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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Norepinephrine is a neurotransmitter that is active in both the peripheral and central nervous systems.
Choice B rationale: Serotonin is primarily active in the central nervous system.
Choice C rationale: Substance P is a neurotransmitter that functions more in the peripheral nervous system.
Choice D rationale: Dynorphins primarily function in the central nervous system.
Correct Answer is D
Explanation
Choice A rationale: Managing dry-mouth symptoms is not the greatest teaching priority for a patient prescribed varenicline.
Choice B rationale: Increasing fiber in the diet to reduce constipation is not the greatest teaching priority for a patient prescribed varenicline.
Choice C rationale: The greatest teaching priority for a patient prescribed varenicline is to report thoughts of self-harm. Varenicline is a medication used for smoking cessation, and there have been reports of neuropsychiatric symptoms, including suicidal ideation.
Choice D rationale: Teaching about the decreased pleasurable effect of nicotine is important but not the greatest priority compared to ensuring the patient's safety.
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