A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because "Mother has not improved one bit!" Which response by the nurse is appropriate?

"Increase the dosage to twice daily."

"Take the medication on an empty stomach for Improved absorption."

"It takes time for the cure to take effect."

"It may take up to 6 weeks to see an improvement."

Answer and Explanation

The Correct Answer is D

A.   "Increase the dosage to twice daily.": Changing the dosage should only be done under the guidance of the prescriber based on clinical assessment, not in response to perceived lack of improvement.
B.   "Take the medication on an empty stomach for improved absorption.": While taking donepezil with or without food may affect absorption, this instruction is not directly related to the timing of improvement in symptoms.
C.   "It takes time for the cure to take effect.": Alzheimer's disease cannot be cured, and this statement may provide false hope to the patient's daughter.
D.   "It may take up to 6 weeks to see an improvement.": This response provides accurate

information about the expected timeline for therapeutic effects of donepezil and encourages patience in observing improvement.

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Correct Answer is D

Explanation

A. Assessment of the patient's pain level: While pain assessment is important, the patient's lethargy and shallow respirations indicate a potential opioid overdose, which takes priority.
B. Close observation of signs of opioid tolerance: The patient's symptoms are indicative of opioid overdose, not tolerance.
C. Immediate intubation and artificial ventilation: While respiratory support may eventually be necessary if the patient's condition deteriorates further, administering naloxone to reverse the opioid effects is the initial priority.
D. Administration of naloxone: Naloxone is an opioid antagonist used to reverse opioid overdose by blocking opioid receptors, which can rapidly restore normal respiratory function and
consciousness in patients experiencing opioid-induced respiratory depression.

A. Constricted pupils B. Increased heart rate C. Bronchial constriction D. Increased GI peristalsis

Correct Answer is B

Explanation

A. Constricted pupils: Adrenergic agonist drugs typically cause pupil dilation (mydriasis), not constriction.
B. Increased heart rate: Adrenergic agonists stimulate the sympathetic nervous system, leading to increased heart rate (positive chronotropic effect) and increased cardiac contractility (positive
inotropic effect).

C. Bronchial constriction: Adrenergic agonists typically cause bronchodilation, not constriction.

D. Increased GI peristalsis: Adrenergic agonists usually inhibit GI motility, leading to decreased GI peristalsis and potentially constipation

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A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because "Mother has not improved one bit!" Which response by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

Correct Answer is B

Explanation

An adrenergic agonist is ordered for a patient in shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs?

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A patient has been taking ergotamine to relieve their migraines. Which of the following adverse effects would indicate to the nurse that the drug may have entered into toxic levels?

During a routine appointment, a patient with a history of seizures is found to have a phenytoin level of 23 mcg/mL. What concern will the nurse have, if any?

A patient has had an overdose of an intravenous cholinergic drug. The nurse expects to administer which drug as an antidote?

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client?