This topic contains a solution. Click here to go to the answer

Author Question: A client with Alzheimer disease is admitted for an overdose of donepezil (Aricept). What will the ... (Read 77 times)

sammy

  • Hero Member
  • *****
  • Posts: 818
A client with Alzheimer disease is admitted for an overdose of donepezil (Aricept). What will the nurse most likely assess in this client?
 
  Standard Text: Select all that apply.
  1. Tachycardia
  2. Vomiting
  3. Muscle twitching
  4. Abdominal cramping
  5. Urinary retention

Question 2

While assessing a client before administering neostigmine for myasthenia gravis management, the nurse documents that the client has increased muscle strength compared with the last assessment over an hour ago.
 
  Which interpretation of this data by the nurse is the most accurate?
  1. Toxicity from the medication is imminent.
  2. The client's dose should be increased.
  3. The medication appears to be effective.
  4. The next dose of the medication should not be given.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Christopher

  • Sr. Member
  • ****
  • Posts: 316
Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Tachycardia is a sign of progressing cholinergic crisis.
Rationale 2: Vomiting is a sign of intense parasympathetic stimulation associated with a cholinergic crisis.
Rationale 3: Muscle twitching is a sign of intense parasympathetic stimulation associated with a cholinergic crisis.
Rationale 4: Abdominal cramping is a sign of intense parasympathetic stimulation associated with a cholinergic crisis.
Rationale 5: Urinary retention is not associated with a cholinergic crisis.
Global Rationale: Tachycardia, vomiting, muscle twitching, and abdominal cramping are signs of progressing cholinergic crisis. Urinary retention is not associated with a cholinergic crisis.

Answer to Question 2

Correct Answer: 3
Rationale 1: There is no indication that the client is hyperreflexive.
Rationale 2: The client has already gained some strength from the previous dose.
Rationale 3: This is the expected outcome.
Rationale 4: It is not appropriate to hold the next dose as there is no indication of toxicity.
Global Rationale: The medication is effective and appears to be effective. There is no indication that the client is hyperreflexive; therefore, the medication should not be withheld. The client has already gained some strength from the previous dose.




sammy

  • Member
  • Posts: 818
Reply 2 on: Jul 23, 2018
Gracias!


Bigfoot1984

  • Member
  • Posts: 321
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

According to the FDA, adverse drug events harmed or killed approximately 1,200,000 people in the United States in the year 2015.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

For a complete list of videos, visit our video library