A client is prescribed the dopamine agonist pramipexole. Which statement made by the patient indicates a need for further teaching?
The drug should be taken with food to prevent nausea."
"I may experience hallucinations while taking this drug."
"I should rise slowly to prevent dizziness and fainting."
"This drug will stop the progression of Parkinson disease."
The Correct Answer is D
Choice A rationale: Taking pramipexole with food can help reduce the risk of nausea, making this statement accurate.
Choice B rationale: Hallucinations are a potential side effect of dopamine agonists, so this statement is correct.
Choice C rationale: Rising slowly can help minimize orthostatic hypotension, a common side effect of dopamine agonists, making this statement accurate.
Choice D rationale: Pramipexole and other dopamine agonists help manage symptoms but do not stop the progression of Parkinson's disease. Further education is needed on the realistic expectations of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Protamine sulfate is used to reverse the anticoagulant effects of heparin, not the effects of alprazolam.
Choice B rationale: Acetylcysteine is the antidote for acetaminophen (paracetamol) overdose and is not effective for alprazolam overdose.
Choice C rationale: Naloxone is an opioid antagonist and is not effective for benzodiazepine overdose.
Choice D rationale: This is correct. Flumazenil is a specific antagonist for benzodiazepines and can be used to reverse the sedative effects of alprazolam in the case of overdose.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale: NSAIDs, including ketorolac, can affect renal function and may require dose adjustment in patients with impaired renal function.
Choice B rationale: Apical pulse is not typically assessed before administering ketorolac.
Choice C rationale: Serum potassium is not directly affected by ketorolac.
Choice D rationale: Ketorolac is associated with an increased risk of bleeding, so assessing the patient's bleeding risk is important.
Choice E rationale: Ketorolac is contraindicated in pregnant women, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus in the fetus.
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