This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has been taking donepezil (Aricept) for several months after being diagnosed with ... (Read 68 times)

theo

  • Hero Member
  • *****
  • Posts: 698
on: Jul 24, 2018
A patient has been taking donepezil (Aricept) for several months after being diagnosed with Alzheimer's disease. The patient's spouse brings the patient to the clinic and reports that the patient seems to be having visual hallucinations.
 
  The primary care NP should: a. increase the dose.
  b. decrease the dose.
  c. switch to memantine (Namenda).
  d. switch to galantamine (Razadyne).

Question 2

A patient comes to the clinic with a history of fever of 102 F for several days, poor appetite, and cough. A sputum culture is pending, but Gram stain indicates a bacterial infection. The primary care nurse practitioner (NP) should:
 
  a. begin empirical antibiotic therapy.
  b. use a broad-spectrum antibiotic for initial treatment.
  c. prescribe an antibiotic when culture and sensitivity results are known.
  d. offer symptomatic treatment only unless the patient's condition worsens.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

yasmin

  • Sr. Member
  • ****
  • Posts: 319
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
Hallucinations may be a sign of drug toxicity. The NP should decrease the dose.

Answer to Question 2

A
Patients with signs and symptoms of a bacterial infection may be treated empirically, especially if Gram stain is positive. The antibiotic may need to be changed when culture and sensitivity results become available. It is best to use an antibiotic that is specific to the suspected organism and not a broad-spectrum antibiotic.


theo

  • Hero Member
  • *****
  • Posts: 698
Reply #2 on: Jul 24, 2018
TY


yasmin

  • Sr. Member
  • ****
  • Posts: 319
Reply #3 on: Jul 24, 2018
You're welcome


« previous next »
 

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

IgA antibodies protect body surfaces exposed to outside foreign substances. IgG antibodies are found in all body fluids. IgM antibodies are the first type of antibody made in response to an infection. IgE antibody levels are often high in people with allergies. IgD antibodies are found in tissues lining the abdomen and chest.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Patient with a cerebrovascular accident. Patient with a cerebrovascular accident.
Medical assistants are often involved in confidential conversations between the physician and the pa Medical assistants are often involved in confidential conversations between the physician and the pa
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
Kaposi's sarcoma on the skin of an AIDS patient. Kaposi's sarcoma on the skin of an AIDS patient.
Head of a patient with tertiary syphilis. Head of a patient with tertiary syphilis.
Video: Homologous chromosomes during prophase I - Animation

For a complete list of videos, visit our video library