A patient is diagnosed with Alzheimer's disease. The nurse should anticipate administering which of the following medications?
A) Bethanechol (Urecholine)
B) Neostigmine (Prostigmin)
C) Donepezil (Aricept)
D) Physostigmine salicylate (Antilirium)
C
Feedback:
Donepezil (Aricept) is used to treat mild to moderate Alzheimer's disease. Bethanechol (Urecholine) produces smooth muscle contractions and is not used to treat Alzheimer's disease. Neostigmine (Prostigmin) is not used to treat Alzheimer's disease; it is used to treat myasthenia gravis. Physostigmine is not used to treat Alzheimer's disease; it is an antidote for overdose of anticholinergic drugs.
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The vital sign assessment of a person with a head injury was temperature (T), 97° F; pulse (P), 86; respiration (R), 18; and blood pressure (BP), 140/86 at 1:00
Which vital sign assessment made 30 minutes later is indicative of increasing intracranial pressure (ICP)? a. T, 98° F; P, 78; R, 14; BP, 150/82 b. T, 97° F; P, 90; R, 20; BP, 148/94 c. T, 98° F; P, 82; R, 18; BP, 140/74 d. T, 99° F; P, 92; R, 16; BP, 136/82
A client with nausea and vomiting has been prescribed an antihistamine and an anticholinergic. The nurse anticipates that which expected side effect of these medications will be observed in the client?
a. Drowsiness and dry mouth b. Bradycardia and fatigue c. Tachycardia and dyspnea d. Abdominal cramps and nausea
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1. "This is a different brand from the one you use at home, but it will give you the same pain relief." 2. "Your health care provider feels we can safely substitute this drug for the drug you use at home." 3. "This generic drug is the one we have on formulary in the pharmacy. It has the same ingredients as the one you use at home." 4. "This is what we have in the pharmacy. Go ahead and take it for now and let me know if it doesn't relieve the pain." 5. "The medications in the hospital often do not look like the ones you get from the pharmacy."
The patient has just started on enteral feedings but is complaining of abdominal cramping. The nurse should
a. Slow the rate of tube feeding. b. Instill cold formula to "numb" the stomach. c. Place the patient in a supine position. d. Change the tube feeding to a high-fat formula.