An older adult patient with a diagnosis of moderate Alzheimer's ...

[faduma]

An older adult patient with a diagnosis of moderate Alzheimer's disease will soon return home with her husband. How can the nurse best facilitate the safe and effective administration of donepezil in the home setting?
 
  A) Have the patient explain the rationale for drug therapy repeatedly before discharge.
  B) Provide a detailed drug monograph to the patient and her husband and offer to answer any questions.
  C) Assess the patient's need for home care.
  D) Teach the patient's husband to administer the medication in a timely and safe manner.

Question 2

When administering the fusion protein inhibitor enfuvirtide (Fuzeon) to a patient with HIV, the nurse should
 
  A) have the patient gargle with normal saline immediately after taking the drug.
  B) flush the patient's central venous catheter with 100 Unit/mL heparin prior to administration.
  C) inject the drug into the patient's ventrogluteal site using the z-track method.
  D) regularly rotate the subcutaneous injection sites that are used.

[juiceman1987]

Answer to Question 1

D
Feedback:
It is important for the home care nurse to work with responsible family members in such cases to ensure accurate drug administration. Assessing the family's need for home care may be warranted, but this action does not necessarily ensure safe drug administration. The presence of moderate Alzheimer's disease may preclude effective patient teaching. Written teaching materials must normally be supplemented by other forms of teaching.

Answer to Question 2

D
Feedback:
The nurse injects enfuvirtide subcutaneously into the upper arm, abdomen, or anterior thigh. Injection of the drug into blood vessels, navel, moles, scars, or other areas of skin change should never occur. Rotation of injection sites and assessment of the sites for reactions are necessary.

[faduma]

Excellent

[jackie]

TYSM