Question

A client with dementia of Alzheimer's disease is prescribed rivastigmine. Which instruction should the nurse include in the teaching plan for the client? Select all that apply.

A. Avoid food with spices and seasonings.
B. Immediately report the occurrence of adverse reactions.
C. Keep all appointments with the primary health care provider.
D. Do not take any nonprescription drug.
E. Avoid taking the drug on an empty stomach.

Answer 1

When a client with Alzheimer's disease is prescribed rivastigmine, they should report any side effects immediately, keep all healthcare appointments, and take the medication with food to reduce the risk of gastrointestinal upset.

Step-by-step explanation:

A client with dementia of Alzheimer's disease prescribed rivastigmine should receive specific instructions to ensure the medication is as effective as possible and to minimize potential adverse effects. Rivastigmine is a cholinesterase inhibitor and works by blocking an enzyme that degrades the neurotransmitter acetylcholine. Increased levels of acetylcholine can enhance communication between neurons, which may help improve cognitive function or slow symptom progression in Alzheimer’s disease.

• B. Immediately report the occurrence of adverse reactions.
• C. Keep all appointments with the primary health care provider.
• E. Avoid taking the drug on an empty stomach.

Patients should report any adverse reactions to their healthcare provider as soon as possible to manage any potential side effects. Regular follow-up appointments are crucial to monitor the disease's progress and the effectiveness of the medication. Taking rivastigmine with food can help reduce gastrointestinal side effects.