A nurse teaches a client and care partner about cholinesterase inhibitors. Which of the following statements should the nurse include in the teaching?
B) "Nausea, vomiting, diarrhea, and loss of appetite can be prevented or reduced by starting with a low dose."
C) "Rivastigmine is only for treatment of mild Alzheimer's disease and will be discontinued as the disease progresses."
D) "You should have a 'drug holiday' monthly to improve the medication's functioning."
Ans: B
When administering medications to older adults, it is imperative to start with lower doses and increase the doses slowly. Exelon is less likely to interact with other drugs and may be safer and better tolerated in people. It will continue and other medications may be added. The effectiveness of cholinesterase inhibitors is diminished significantly if it is stopped and then restarted.
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