A client has recently been diagnosed with Alzheimer's disease. Which medication would the nurse expect the physician to order for this client's cognitive impairment?
Zalepion
Donepezil
Nortriptyline
Quetiapine
The Correct Answer is B
a. Zalepion: Zalepion is a hypnotic agent used for the short-term treatment of insomnia. It is not used to treat cognitive impairment in Alzheimer's disease.
b. Donepezil: Donepezil is a cholinesterase inhibitor commonly prescribed to manage symptoms of Alzheimer's disease. It works by increasing the levels of acetylcholine in the brain, which can help improve cognitive function and slow the progression of symptoms
c. Nortriptyline: Nortriptyline is a tricyclic antidepressant, not typically used for cognitive impairment in Alzheimer's disease.
d. Quetiapine: Quetiapine is an antipsychotic medication used to treat mood disorders and schizophrenia. It is not primarily used for treating cognitive impairment in Alzheimer's disease
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. "You need to understand there are no voices": Denying the client's experience can be invalidating and unhelpful.
b. What are the voices telling you to do? (Correct)A key principle in responding to someone experiencing auditory hallucinations is to validate their experience and ask open-ended questions. This helps the client feel heard and allows the nurse to assess the severity of the situation and potential safety risks.
c. What do you think is causing you to hear the voices? While exploring the cause of hallucinations can be part of therapy, in the immediate situation, focusing on what the voices are saying and assessing safety is more important.
d. "You need to tell the forces to leave you alone": This is confrontational and doesn't acknowledge the client's fear. It might also reinforce the belief in the voices having power.
Correct Answer is A
Explanation
a. 1030-1130: Insulin aspart is a rapid-acting insulin that typically peaks in 1-2 hours. Hypoglycemia is most likely to occur during the peak action time.
b. 1130-1230: This is beyond the typical peak action time for insulin aspart, making hypoglycemia less likely during this interval.
c. 1000: This falls within the typical peak action time of 1-2 hours for insulin aspart, making hypoglycemia possible but the interval is slightly too narrow to capture the full peak effect.
d. 0800-0830: Insulin aspart begins to act within 10-20 minutes, but hypoglycemia typically does not occur this soon after administration unless there is an issue with meal timing or dosage.
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