A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil.
Which of the following therapeutic effects should the nurse inform the family to expect?
Decreased urinary output.
Improved pulmonary function.
Improved cognitive function.
Decreased incidence of seizures.
The Correct Answer is C
Choice A rationale:
Donepezil does not decrease urinary output. It works by increasing the amount of a certain naturally occurring substance in the brain.
Choice B rationale:
Donepezil does not improve pulmonary function. Its primary function is to improve mental function.
Choice C rationale:
Donepezil improves cognitive function. It can improve thinking ability and slow the loss of these abilities in people who have Alzheimer’s disease.
Choice D rationale:
Donepezil does not decrease the incidence of seizures. In fact, patients should inform their healthcare provider if they have a history of seizures before starting donepezil.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.
Choice B rationale:
A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.
Choice C rationale:
A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.
Choice D rationale:
Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.
Correct Answer is B
Explanation
Choice A rationale:
Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.
Choice B rationale:
Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.
Choice C rationale:
Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.
Choice D rationale:
Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.
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