A nurse is caring for a client who has a new diagnosis of Alzheimer's disease. Which of the following medications should the nurse expect the provider to prescribe?

Donepezil

Chlordiazepoxide

Naltrexone

Buprenorphine

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Donepezil is a cholinesterase inhibitor that is commonly prescribed for individuals with Alzheimer's disease. It helps increase the levels of acetylcholine in the brain, which can temporarily improve cognitive function and slow the progression of cognitive decline in some individuals with Alzheimer's disease.

Choice B rationale: Chlordiazepoxide is a benzodiazepine medication used to treat anxiety and alcohol withdrawal symptoms. It is not indicated for the treatment of Alzheimer's disease and is not recommended due to its potential to cause sedation and cognitive impairment.

Choice C rationale: Naltrexone is an opioid receptor antagonist primarily used to treat opioid and alcohol dependence. It is not indicated for the treatment of Alzheimer's disease.

Choice D rationale: Buprenorphine is a partial opioid agonist used to treat opioid dependence and moderate to severe pain. It is not indicated for the treatment of Alzheimer's disease.

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Correct Answer is C

Explanation

Choice A rationale:

Newborns typically lose some weight after birth, but 15 percent loss would be excessive and concerning. A normal weight loss range is about 5 to 10 percent.

Choice B rationale:

Newborns should be fed on demand rather than adhering to strict schedules to ensure they are adequately nourished.

Choice C rationale:

Breastfeeding requires additional energy, and mothers are generally advised to consume around 500 extra calories a day to support milk production and their own energy needs.

Choice D rationale:

Offering a pacifier before sleep can reduce the risk of sudden infant death syndrome (SIDS), but this recommendation usually starts at around 1 to 2 months of age.

A. "I need to make sure other members of my family get immunized against the disease." B. "Since I will stay in the hospital, I should begin the process of selling my home." C. "I will need to begin hospice care immediately." D. "I would like to talk to someone about creating a living will."

Correct Answer is D

Explanation

Choice A rationale:

Other family members or close contacts may consider immunization, but it is not directly related to the client's ALS diagnosis.

Choice B rationale:

Since the client has a new diagnosis of ALS, the immediate focus should not be on selling their home, but rather on understanding and managing the disease.

Choice C rationale:

Requiring hospice care immediately is not a standard recommendation for a client with ALS. The client's disease progression and needs will be assessed to determine the appropriate level of care.

Choice D rationale:

Creating a living will is important for clients with a terminal illness like ALS, as it allows them to express their wishes for medical treatment and care preferences in advance.

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A nurse is caring for a client who has a new diagnosis of Alzheimer's disease. Which of the following medications should the nurse expect the provider to prescribe?

Nursing Test Bank

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