A nurse is caring for a client in a provider's office.
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."
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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Related Questions
Correct Answer is C
Explanation
A. This statement is incorrect. While it’s essential not to exceed the recommended dose, the
maximum daily limit for nicotine gum is 24 pieces, not 40. Using more than the recommended amount can lead to adverse effects
B. This information is not accurate. Nicotine gum is typically used for a shorter duration. The
treatment plan varies, but it’s essential to follow the recommended dosing and gradually reduce usage over time. The goal is to quit smoking successfully, not to use the gum for 9 months
C. This advice is correct. Nicotine gum is not used like ordinary chewing gum. You should chew it a few times and then “park” it between your cheek and the space below your teeth. The nicotine is absorbed mostly in your mouth. Chewing it slowly over 30 minutes allows for
effective absorption and helps control withdrawal symptoms
D. Drinking water before chewing nicotine gum is not a necessary instruction for its use.
Correct Answer is D
Explanation
A. Treatment for active pulmonary tuberculosis typically lasts 6 to 9 months, not 3 years.
B. Monitoring kidney function is not typically required for tuberculosis medication; however, liver function tests may be needed.
C. Tuberculin skin tests are used for diagnosis, not for monitoring treatment progress.
D. Treatment of active pulmonary tuberculosis usually involves a combination of antibiotics, typically two or more medications, to prevent the development of drug-resistant strains.
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