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 D
Explanation
Choice A rationale: Temperature is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice B rationale: Urinary function is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice C rationale: Respiratory rate is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice D rationale: The priority assessment before the administration of metoprolol is the heart rate. Metoprolol is a beta-blocker that primarily affects the heart rate, so it is important to assess for bradycardia before administration.
Correct Answer is A
Explanation
Choice A rationale: Loss of consciousness is a serious adverse reaction that should be reported to the healthcare provider. Instructing the wife to call the provider if it happens again is an appropriate response.
Choice B rationale: Stopping the medication without consulting the provider may not be advisable, as sudden discontinuation of some medications can have adverse effects.
Choice C rationale: Taking the next dose with food may be a general recommendation for some medications, but it does not directly address the issue of loss of consciousness.
Choice D rationale: While moving slowly when changing positions is a general recommendation for some medications, the immediate concern is the loss of consciousness, and contacting the provider is more appropriate.
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