A nurse is assessing a 72-year-old patient diagnosed with A…
A nurse is assessing a 72-year-old patient diagnosed with Alzheimer disease 4 years ago who currently takes donepezil 10 mg daily. The patient’s spouse reports the patient now requires assistance with bathing and dressing, frequently forgets family members’ names, and has difficulty finding words during conversations. The healthcare provider is considering adding memantine to the treatment regimen. What clinical assessment finding supports the appropriateness of adding memantine at this stage?
Read DetailsA nurse is caring for a patient of Asian descent who reports…
A nurse is caring for a patient of Asian descent who reports inadequate pain relief after receiving codeine 30 mg PO every 4 hours for postoperative pain. Pharmacogenetic testing reveals the patient has two variant alleles for the CYP2D6 enzyme. Which term best describes this patient’s metabolizer status?
Read DetailsA nurse is preparing discharge teaching for two patients rec…
A nurse is preparing discharge teaching for two patients receiving CNS stimulants. Patient A is an 8-year-old child prescribed methylphenidate 15 mg orally at 0800 daily for attention-deficit/hyperactivity disorder. Patient B is a 28-year-old adult prescribed methylphenidate 20 mg orally at 0700 daily for narcolepsy. Which statement by the nurse demonstrates accurate understanding of the pharmacodynamic differences in how methylphenidate achieves therapeutic effects for these two conditions?
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