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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Phenytoin should be administered slowly to avoid adverse effects. Infusing 800 mg over 5 minutes is too rapid and can lead to cardiovascular complications.
Choice B rationale:
Rationale: After administering phenytoin via IV, it's important to flush the IV line with normal saline (0.9% sodium chloride) to ensure the medication is fully delivered to the client and to prevent any residual medication from precipitating in the IV line.
Choice C rationale:
Flushing with heparin is not standard practice for administering phenytoin.
Choice D rationale:
Phenytoin should be administered in normal saline, not in D5W (dextrose 5% in water), to avoid precipitation.
Correct Answer is D
Explanation
Choice A rationale:
Filing a transfer request might be considered if the bullying behavior persists despite attempts to address it, but it's important for the newly licensed nurse to initially address the behavior directly.
Choice B rationale:
Discussing the matter with the facility's quality improvement team might be necessary if the situation escalates, but addressing the behavior directly with the coworker is the initial step.
Choice C rationale:
Introducing a no-tolerance policy for incivility is a good idea, but addressing the specific behavior with the coworker is important in the moment.
Choice D rationale:
Calmly addressing the coworker's behavior as soon as it occurs is a proactive way to assert boundaries and address the bullying behavior directly.
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