A nurse is teaching the family of a client who has Alzheimer’s disease about donepezil. Which of the following information should the nurse include in the teaching?

“Syncope episodes may occur when taking this medication.”

“You will need to monitor for constipation.”

“This medication may cause tachycardia.”

“You should administer the medication each morning.”

Answer and Explanation

The Correct Answer is A

Answer: A. “Syncope episodes may occur when taking this medication.”

Rationale:

A) “Syncope episodes may occur when taking this medication.”
Syncope (fainting) is a possible side effect of donepezil, a cholinesterase inhibitor used to treat Alzheimer’s disease. Donepezil can cause bradycardia, which may lead to a decrease in blood pressure and reduced blood flow to the brain, resulting in syncope. It's important for family members to monitor for episodes of dizziness, fainting, or lightheadedness, particularly when the client changes positions (orthostatic hypotension).

B) “You will need to monitor for constipation.”
Constipation is not commonly associated with donepezil use. In fact, donepezil may cause diarrhea or gastrointestinal upset due to its cholinergic effects. Family members should be more concerned about potential gastrointestinal disturbances such as nausea, vomiting, or diarrhea rather than constipation.

C) “This medication may cause tachycardia.”
Donepezil is more likely to cause bradycardia (a slower-than-normal heart rate) rather than tachycardia (a fast heart rate). Bradycardia is a known side effect because the medication increases acetylcholine, which enhances parasympathetic activity, leading to a slower heart rate.

D) “You should administer the medication each morning.”
Donepezil is typically administered in the evening before bed. This schedule helps reduce the risk of daytime gastrointestinal side effects, like nausea and vomiting, which can interfere with daily activities. Administering the medication at night can also reduce the impact of potential dizziness or syncope during the day.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","E"]

Explanation

A) Obstructive sleep apnea (OSA):
Obstructive sleep apnea is a known risk factor for the development of hypertension. During episodes of sleep apnea, breathing repeatedly stops and starts, leading to disruptions in normal sleep patterns and potentially contributing to increased sympathetic nervous system activity, systemic inflammation, and endothelial dysfunction, all of which can elevate blood pressure over time.

B) The choice B was incorrect. While a diet high in potassium is generally associated with lower blood pressure due to its beneficial effects on blood vessel function and fluid balance, it is not considered a risk factor for developing hypertension. In fact, potassium-rich foods like fruits, vegetables, and legumes are often recommended as part of a heart-healthy diet to help manage blood pressure.

C) The choice C was incorrect. A high-density lipoprotein (HDL) level of 70 mg/dL is actually considered beneficial for cardiovascular health. HDL is often referred to as "good" cholesterol because it helps remove LDL (low-density lipoprotein) cholesterol from the bloodstream, reducing the risk of plaque buildup in the arteries. Having a high HDL level is typically associated with a lower risk of cardiovascular disease, including hypertension.

D) The choice D was incorrect. Benazepril is actually an antihypertensive medication, specifically an angiotensin-converting enzyme (ACE) inhibitor. It is used to treat hypertension, not as a risk factor for its development. ACE inhibitors work by relaxing blood vessels, which helps lower blood pressure. While taking certain medications like benazepril may contribute to the management of hypertension, they are not considered risk factors for its development.

E) Cigarette smoking:
Cigarette smoking is a well-established risk factor for the development of hypertension. Smoking cigarettes can lead to the constriction of blood vessels, increased heart rate, and damage to the lining of blood vessels, all of which can elevate blood pressure. Additionally, the chemicals in tobacco smoke can contribute to inflammation and oxidative stress, further exacerbating cardiovascular risk factors. Smoking cessation is an essential component of hypertension management and overall cardiovascular health.

Correct Answer is ["32"]

Explanation

Find the concentration of heparin in the solution:

Total heparin (units): 25,000 units

Volume of solution (mL): 500 mL

Heparin concentration (units/mL) = Total heparin (units) / Volume of solution (mL)

Heparin concentration (units/mL) = 25,000 units / 500 mL = 50 units/mL

Set up the flow rate equation:

Desired heparin infusion rate (units/hr): 1600 units/hr

Heparin concentration in solution (units/mL): 50 units/mL

Flow rate (mL/hr): We need to solve for this

Flow rate (mL/hr) = Desired heparin infusion rate (units/hr) / Heparin concentration (units/mL)

Calculate the flow rate (mL/hr):

Flow rate (mL/hr) = 1600 units/hr / 50 units/mL = 32 mL/hr (round to nearest whole number as requested)

Therefore, the nurse should set the IV pump to deliver approximately 32 mL/hr.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching the family of a client who has Alzheimer’s disease about donepezil. Which of the following information should the nurse include in the teaching?

Rationale:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension? (Select All that Apply.)

Correct Answer is ["A","E"]

Explanation

Correct Answer is ["32"]

Explanation

Increased gastric motility and digestion are controlled by which of the following?

When providing medication te”ching to a client who has been prescribed spironolactone for hypertension, what foods should the nurse instruct the client to avoid?

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A resident of a long-term care facility receives 12.5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily. Before administering this drug, the nurse should perform and document what assessment findings?

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) _mL/hr

What assessment should the nurse make before administering beta-adrenergic blocking agents?

A nurse caring for a client”who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

A 27-year-old male is taking an anticholinergic drug as adjunctive therapy to treat his peptic ulcer disease. The client comes to the clinic and tells the nurse that he "feels his heart beating." What adverse effect is the client experiencing from the anticholinergic medication?