A nurse is providing teaching to the partner of a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following pieces of information should the nurse include?

"You should administer the medication immediately before bedtime."

"The provider will gradually decrease the dose as the disease improves."

"This medication stops the progression of early Alzheimer's disease."

"Your partner is at a decreased risk for falls while taking donepezil."

Answer and Explanation

The Correct Answer is A

Choice A reason: Donepezil is often administered before bedtime to reduce the risk of nausea, which is a common side effect. Taking it at bedtime can also coincide with the body's natural rest period, potentially minimizing the impact of any side effects.

Choice B reason: Alzheimer's disease is a progressive condition, and currently, there is no cure. The provider will not decrease the dose as the disease improves because the disease typically worsens over time. Medication management may change, but it is based on symptom control, not improvement of the disease.

Choice C reason: Donepezil does not stop the progression of Alzheimer's disease. It can help manage symptoms and improve quality of life, but it does not cure or halt the disease's progression.

Choice D reason: Donepezil does not decrease the risk of falls. In fact, some of its side effects, such as dizziness, may increase the risk of falls. It is important for caregivers to monitor their partners for such side effects and take precautions to prevent falls.

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Correct Answer is C

Explanation

Choice A reason: Naltrexone is primarily used to manage alcohol or opioid dependence and is not typically prescribed for smoking cessation. It works by blocking the euphoric effects of these substances, which is not directly applicable to nicotine addiction.

Choice B reason: Disulfiram is used as a deterrent agent in the treatment of alcoholism. It causes unpleasant effects when even small amounts of alcohol are consumed, thus it is not suitable for smoking cessation.

Choice C reason: Varenicline is a medication specifically designed to aid in smoking cessation. It works by binding to nicotine receptors in the brain, reducing cravings and the pleasurable effects of smoking. This makes it easier for individuals to quit smoking.

Choice D reason: Donepezil is a medication used to treat cognitive symptoms of Alzheimer's disease. It is not indicated for smoking cessation and does not have an effect on nicotine addiction.

A. Chlordiazepoxide B. Buprenorphine C. Bupropion D. Disulfiram

Correct Answer is A

Explanation

Choice A reason: Chlordiazepoxide is a benzodiazepine that is commonly used to treat the symptoms of acute alcohol withdrawal. It works by enhancing the effect of the neurotransmitter GABA, which has an overall calming effect on the nervous system. This helps to reduce the severity of withdrawal symptoms such as anxiety, agitation, and the risk of seizures.

Choice B reason: Buprenorphine is an opioid partial agonist-antagonist used primarily to treat opioid addiction and is not typically used for alcohol withdrawal. While it can help with some withdrawal symptoms, it does not address the full spectrum of alcohol withdrawal symptoms and is not the standard treatment for this condition.

Choice C reason: Bupropion is an antidepressant and smoking cessation aid. It affects neurotransmitters in the brain but is not indicated for the treatment of alcohol withdrawal. Therefore, it would not be the expected medication for managing acute alcohol withdrawal symptoms.

Choice D reason: Disulfiram is used as a deterrent agent in the management of chronic alcoholism. It causes unpleasant effects when even small amounts of alcohol are consumed, which helps to maintain abstinence but is not used for treating acute withdrawal symptoms.

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A nurse is providing teaching to the partner of a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following pieces of information should the nurse include?

Nursing Test Bank

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