A patient with mild symptoms of Alzheimer Disease is prescribed donepezil, Which statement made by the patient indicates the need for further teaching?
“The drug will improve transmission by neurons in my brain."
“I may experience an upset stomach while taking this drug."
"I will take the drug every night at bedtime with a snack."
"The drug will stop damage to the neurons in my brain."
The Correct Answer is D
Choice A rationale: Donepezil works by enhancing the action of acetylcholine, improving neuronal transmission, so this statement is accurate.
Choice B rationale: Upset stomach is a common side effect of donepezil, and the patient's awareness of this potential side effect indicates understanding.
Choice C rationale: Taking donepezil with food can reduce the risk of stomach upset, so this statement is appropriate.
Choice D rationale: Donepezil helps manage symptoms of Alzheimer's Disease but does not stop the progression or damage to neurons. Further education is needed on the realistic expectations of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Fatigue is a nonspecific symptom and may not be directly indicative of salicylism.
Choice B rationale: Heartburn after meals is not a classic symptom of salicylism.
Choice C rationale: Ringing in the ears (tinnitus) is a characteristic symptom of salicylism and indicates high levels of aspirin in the blood.
Choice D rationale: Vomiting can occur with aspirin toxicity, but it is not as specific a symptom as tinnitus.
Correct Answer is C
Explanation
Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.
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