For which patient must the drug donepezil (Aricept) for Alzheimer's disease be avoided?
a. 54-year-old woman with early onset Alzheimer's disease
b. 67-year-old man who also takes drugs for type 2 diabetes
c. 72-year-old woman who is 20 lb underweight
d. 72-year old man who is unable to sit or stand
C
Donepezil suppresses appetite and causes weight loss. In a person who is underweight, the usual dosage can lead to toxicity. In addition, some Alzheimer's patients forget to eat and are already underweight. Weighing less than an ideal body weight increases the risk for many complications of old age and poor health.
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The nurse planning the care of a frail, malnourished, immobile patient recognizes which of the following as the best treatment to protect the patient's integument?
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