The nurse is caring for a client with lupus and is reviewing the medication list. Which of the following prescriptions would not correlate to this illness?

Choice A reason: Mucolytics (e.g., acetylcysteine) break disulfide bonds in mucus, thinning it to ease expectoration, directly aiding secretion clearance in respiratory conditions.

Choice B reason: Glucocorticoids reduce inflammation in airways, not liquefying mucus; they address swelling, not viscosity, so they don’t facilitate expulsion directly.

Choice C reason: Calcium channel blockers relax vascular smooth muscle for hypertension, not affecting mucus consistency or respiratory secretions, irrelevant to this goal.

Choice D reason: Bronchodilators open airways, improving airflow, but don’t alter mucus viscosity, aiding breathing, not secretion liquefaction or removal specifically.

Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.

Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.

Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.

Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.