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?

A. Fosphenytoin (Cerebyx) is correct to question as an initial treatment in status epilepticus. While fosphenytoin is used to prevent further seizures once initial control is achieved, it does not act quickly enough to stop active seizures. Therefore, it is not the first-line medication during the acute phase and should be questioned if ordered as the initial intervention.
B. Lorazepam is a benzodiazepine and is one of the first-line treatments for status epilepticus due to its rapid onset of action.
C. Phenobarbital can be used if benzodiazepines and phenytoin/fosphenytoin fail to control seizures, making it an appropriate option in refractory cases.
D. Diazepam is also a benzodiazepine effective for the acute management of status epilepticus, typically administered intravenously or rectally for rapid effect.

A. Brittle nails are more commonly associated with hypothyroidism, not hyperthyroidism. In hyperthyroidism, nails tend to be stronger, although they may grow more quickly.
B. Cool skin is a sign of hypothyroidism, not hyperthyroidism. In hyperthyroidism, the skin is often warm and moist due to increased metabolic activity and the body's increased heat production.
C. Nervousness, anxiety, and irritability are common symptoms of hyperthyroidism due to the overstimulation of the sympathetic nervous system caused by elevated thyroid hormones.
D. Hoarseness is more commonly seen in hypothyroidism or in cases of thyroid nodules or goiter, not typically in hyperthyroidism.
E. Excessive perspiration is common in hyperthyroidism because of the increased metabolic rate and the body's tendency to generate more heat.
F. Exophthalmos (bulging of the eyes) is a hallmark symptom of Graves' disease, which is a common cause of hyperthyroidism. It occurs due to inflammation and swelling of the tissues around the eyes.