Author Question: A new patient has come to the clinic. The patient tells the nurse he or she takes donepezil ... (Read 68 times)

tatyanajohnson · **on:** Jul 23, 2018

A new patient has come to the clinic. The patient tells the nurse he or she takes donepezil (Aricept). What is the priority nursing assessment related to the medication? (Select all that apply.)

A) Nutritional status
B) Blood pressure
C) History of incontinence
D) Breath sounds
E) Muscle strength

Question 2

The nursing instructor is discussing helmintic infections with the nursing students. How would the instructor explain the action of anthelmintic drugs?

A) Destroy the nervous system of the invading worm
B) Act on metabolic pathways that are present in the invading worm
C) Interfere in the reproductive cycle of the invading worm
D) Cause fatal mutations in the deoxyribonucleic acid of the invading worm

thall411 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, B, C
Feedback:
Gastrointestinal (GI) adverse effects can include nausea, vomiting, cramps, diarrhea, increased salivation, and involuntary defecation, so it is important for the nurse to assess nutritional status. This is made all the more important by the condition the drug is treating that often results in patients forgetting to eat healthfully. Blood pressure should be monitored because adverse effects of donepezil include hypotension, bradycardia, and heart block. Involuntary defecation and relaxation of bladder sphincter can result in incontinence so the nurse should assess for both incontinence and, if it occurred, skin integrity. Respiratory adverse effects are not associated with donepezil and muscle strength should not be impacted either.

Answer to Question 2

B
Feedback:
The anthelmintic drugs act on metabolic pathways that are present in the invading worm, but that are absent or significantly different in the human host. Other options are incorrect descriptions of how anthelmintic drugs work.