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1. Question
The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?
Correct
Answer D is correct.
Rationale: Nausea and gastrointestinal upset are very common in clients taking acetylcholinesterase inhibitors such as Exelon. Other side effects include liver toxicity, dizziness, unsteadiness, and clumsiness. The client might already be experiencing urinary incontinence or headaches, but they are not necessarily associated; and the client with Alzheimer’s disease is already confused. Therefore, answers A, B, and C are incorrect.
Incorrect
Answer D is correct.
Rationale: Nausea and gastrointestinal upset are very common in clients taking acetylcholinesterase inhibitors such as Exelon. Other side effects include liver toxicity, dizziness, unsteadiness, and clumsiness. The client might already be experiencing urinary incontinence or headaches, but they are not necessarily associated; and the client with Alzheimer’s disease is already confused. Therefore, answers A, B, and C are incorrect.
Exelon (rivastigmine) Uses:
Treatment of mild to severe dementia of Alzheimer’s or mild to moderate dementia of Parkinson’s disease. OFF-LABEL: Lewy body dementia.
PRECAUTIONS
Contraindications: Hypersensitivity to other carbamate derivatives (e.g., neostigmine), history of application site reactions with rivastigmine. Cautions: Peptic ulcer disease, concurrent use of NSAIDs, sick sinus syndrome, bradycardia or supraventricular conduction defects, urinary obstruction, seizure disorders, asthma, COPD, pts with body weight less than 50 kg.
