A nurse is caring for a client in a provider's office.

Exhibits

Which of the following statements should the nurse include when teaching the client about the prescribed LEVODPA? Select all that apply.

"Consumption of a high protein meal can reduce the effectiveness of the medication."

“You may notice your urine becomes lighter in color."

"You may initially notice an increase in involuntary movements." "You can experience vivid nightmares."

"The medication can cause nausea, so take with a meal"

“This medication can make you light-headed if you stand up too quickly from a seated or lying position."

Answer and Explanation

Correct Answer : A,C,D,E

A. "Consumption of a high protein meal can reduce the effectiveness of the medication."
High-protein meals can interfere with levodopa absorption in the intestine, reducing its effectiveness. Clients should consume protein in moderate amounts and distribute intake throughout the day.

B. "You may notice your urine becomes lighter in color."
Levodopa can cause urine, sweat, and saliva to become darker (brown, red, or black), not lighter. This is a harmless side effect but should be discussed with the client.

C. "You may initially notice an increase in involuntary movements."
Levodopa can cause dyskinesia (involuntary movements), especially with prolonged use or at higher doses. These movements can include facial twitching, jerking, or head bobbing.

D. "The medication can cause nausea, so take with a meal."
Levodopa can cause nausea, particularly when first starting the medication. Taking it with food can help reduce gastrointestinal discomfort, but avoiding high-protein meals is important.

E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position."
Levodopa can cause orthostatic hypotension, leading to dizziness or light-headedness when changing positions. Clients should be advised to rise slowly to prevent falls.

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Free Nursing Study Resources

Correct Answer is ["7.5"]

Explanation

Convert the client's weight from pounds to kilograms. We can use the formula 1 kg = 2.2 lb. So, 132 lb / 2.2 = 60 kg.

Calculate the total daily dose of chloramphenicol for the client. We can use the formula Dose (mg) = Weight (kg) x Dosage (mg/kg). So, 60 kg x 50 mg/kg = 3000 mg.

Divide the total daily dose by 4 to get the dose for each administration. So, 3000 mg / 4 = 750 mg.

Calculate the volume of chloramphenicol solution needed for each dose. We can use the formula Volume (mL) = Dose (mg) / Concentration (mg/mL). So, 750 mg / 100 mg/mL =

7.5 mL.

Round the answer to the nearest tenth. So, the nurse should give 7.5 mL of chloramphenicol solution with each dose.

A. Bruxism B. Confusion C. Insomnia D. Weight loss

Correct Answer is B

Explanation

A. Bruxism: Bruxism, or teeth grinding, is a potential adverse effect of citalopram but is generally less severe than confusion. While it should be monitored and reported if severe or persistent, it is not typically considered a priority adverse effect.
B. Confusion: Confusion can indicate a serious adverse reaction or complication, such as serotonin syndrome, which is a potentially life-threatening condition associated with the use of selective serotonin reuptake inhibitors (SSRIs) like citalopram. Therefore, confusion is the priority adverse effect to report to the provider.
C. Insomnia: Insomnia is a common side effect of citalopram and other SSRIs but is generally less severe than confusion. It should be monitored and reported if severe or persistent, but it is not typically considered a priority adverse effect.
D. Weight loss: Weight loss can occur as a side effect of citalopram but is generally less severe than confusion. It should be monitored and reported if excessive or rapid, but it is not typically considered a priority adverse effect.

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A nurse is caring for a client in a provider's office. Exhibits Which of the following statements should the nurse include when teaching the client about the prescribed LEVODPA? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["7.5"]

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client in a provider's office.

Exhibits

Which of the following statements should the nurse include when teaching the client about the prescribed LEVODPA? Select all that apply.