The nurse is teaching a client newly diagnosed with Alzheimer's disease about the medication donepezil (Aricept). Which of the following information should the nurse include in the teaching?

"Donepezil will stop the progression of the disease."

"You can expect an immediate improvement in your ability to think."

"Donepezil helps to manage the symptoms of Alzheimer's disease."

"This medication slows the uptake of acetylcholine."

Answer and Explanation

The Correct Answer is C

A. Donepezil (Aricept) does not stop or cure Alzheimer's disease. It helps to manage symptoms, but it does not halt the progression of the disease. The disease will still progress, but the medication may help improve cognitive function and slow down symptom deterioration temporarily.
B. Donepezil may take several weeks to months to show any noticeable effects. Immediate improvements in cognitive function are unlikely, and it should not be expected to cause quick or dramatic changes in thinking.
C. Donepezil is a cholinesterase inhibitor that works by increasing acetylcholine levels in the brain, which helps to improve communication between nerve cells. It helps manage the cognitive symptoms of Alzheimer's disease, such as memory loss and confusion, but does not cure or prevent the disease.
D. Donepezil works by inhibiting acetylcholinesterase, the enzyme that breaks down acetylcholine. By doing this, it helps increase the availability of acetylcholine in the brain, rather than slowing its uptake. This increased availability can help improve cognitive function in people with Alzheimer's disease.

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Correct Answer is D

Explanation

A. A 75-year-old female client who has diabetes mellitus type 1: While older age and gender (female) may slightly increase the risk of thyroid cancer, diabetes mellitus type 1 is not a known significant risk factor for thyroid cancer.
B. A 68-year-old male client who has testicular cancer: Testicular cancer itself is not strongly associated with an increased risk of thyroid cancer. While cancer survivors may face a higher risk for secondary cancers, testicular cancer is not typically linked to thyroid cancer.
C. A 48-year-old male client with a history of hyperthyroidism: Hyperthyroidism does not increase the risk for thyroid cancer. In fact, hyperthyroidism is more commonly associated with conditions like Graves' disease and toxic goiter, not thyroid cancer.
D. A 40-year-old female client who received radiation treatment for breast cancer 8 years ago: Previous radiation treatment, particularly at a young age, is a well-established risk factor for developing thyroid cancer. Radiation exposure can damage the DNA in thyroid cells, leading to an increased risk of cancer later in life.

A. "It would be a good idea to increase fiber in my diet." B. "After a six-month course of this treatment I can stop taking the medication." C. "I know that I need to be careful when taking other medications." D. "I will need to have blood drawn to monitor my levels."

Correct Answer is B

Explanation

A. Increasing fiber can be beneficial for clients with hypothyroidism, as constipation is a common symptom of this condition. It helps improve bowel movements and overall gastrointestinal function.
B. Hypothyroidism is a lifelong condition, and thyroid replacement therapy is typically needed for life. The client must understand that they cannot stop taking the medication after a set period unless instructed by a healthcare provider.
C. Some medications can interfere with thyroid hormone replacement therapy, so it is important to be cautious and consult a healthcare provider before taking any new medications.
D. Regular monitoring of thyroid hormone levels is important to ensure that the thyroid replacement therapy is at the correct dosage. This helps prevent under- or over-treatment.

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The nurse is teaching a client newly diagnosed with Alzheimer's disease about the medication donepezil (Aricept). Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is screening clients for an increased risk of thyroid cancer. Which of the following client's would have the highest risk?

Correct Answer is D

Explanation

The nurse has taught a client with hypothyroidism about thyroid replacement therapy. Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

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