Cognitive Reflection Test (CRT) Practice

What action should a nurse recommend if a caregiver reports increased restlessness in a client taking Donepezil?

1. Ensure the client stays at home

2. Bring the client for testing

3. Continue the medication as prescribed

4. Reduce the medication dosage

The correct answer is: Bring the client for testing

Recommending to bring the client for testing is appropriate in this scenario because increased restlessness can be a side effect of donepezil or may indicate a change in the client's condition. Donepezil is often prescribed for Alzheimer's disease and functions by increasing levels of acetylcholine in the brain, which can sometimes lead to side effects, including restlessness or agitation. When a caregiver observes increased restlessness, it signals a need for further evaluation to determine the underlying cause. This could involve assessing the effectiveness of the medication, considering potential interactions with other medications, or identifying any other factors contributing to the restlessness. By bringing the client for testing, healthcare professionals can accurately assess the situation, make informed decisions about medication management, and adjust treatment as necessary to ensure the client's comfort and safety.