An Alzheimer's patient taking donepezil (Aricept) has a complete ...

[biggirl4568]

An Alzheimer's patient taking donepezil (Aricept) has a complete blood count that indicates he or she is anemic. What drug taken in combination with donepezil could be the cause of the anemia?
 
  A) Cimetidine (Tagamet)
  B) Ibuprofen (Advil)
  C) Diltiazem (Cardizem)
  D) Furosemide (Lasix)

Question 2

A 7-year-old boy is admitted to the pediatric behavioral health unit with a diagnosis of an acute psychotic episode. Aripiprazole has been ordered. Before administering the medication, what is the nurse's first priority?
 
  A) Weigh the patient.
  B) Obtain baseline vital signs.
  C) Call the physician.
  D) Administer the medication between meals.

[amandalm]

Answer to Question 1

B
Feedback:
There could be an increased risk of gastrointestinal (GI) bleeding if donepezil is taken with a nonsteroidal anti-inflammatory drug (NSAID) because of the combination of increased GI secretions and the GI mucosal erosion associated with the use of NSAIDs. Cimetidine, diltiazem, and furosemide would not affect GI bleeding.

Answer to Question 2

C
Feedback:
Of the antipsychotics, chlorpromazine, haloperidol, pimozide, prochlorperazine, risperidone, thioridazine, and trifluoperazine are the only ones with established pediatric regimens. Aripiprazole has dosages for children 13 to 17 years of age but would not be appropriate for a 7-year-old child. Weighing the patient and obtaining baseline vital signs is necessary assessment data but is not the first priority. There is nothing to indicate medications should be administered between meals.

[biggirl4568]

Excellent

[ricroger]

Thanks for the timely response, appreciate it