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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Correct Answer is C

Explanation

A. Hang the TPN solution to gravity to infuse: TPN solutions are typically administered using an infusion pump to control the rate of infusion accurately. Hanging the solution to gravity is not recommended because it may lead to inconsistent flow rates and inaccurate delivery of nutrients.
B. Titrate TPN solution to blood pressure: TPN solutions are not titrated based on blood pressure.

The composition and rate of TPN infusion are typically determined by the client's nutritional needs and metabolic status, not blood pressure.

C. Monitor the client's weight daily: Monitoring the client's weight daily is essential when administering TPN to assess for fluid balance, nutritional status, and response to therapy. Changes in weight can indicate fluid retention, dehydration, or changes in nutritional status, which may require adjustments to the TPN regimen.
D. Obtain the client's blood glucose level weekly: Blood glucose levels should be monitored frequently in clients receiving TPN, as hyperglycemia is a common complication. Weekly monitoring may not be sufficient to detect and manage hyperglycemia promptly. Therefore,
blood glucose levels are typically monitored more frequently, such as multiple times daily or according to institutional protocols.

A. Nitroglycerin B. Albuterol C. Furosemide D. Indomethacin

Correct Answer is A

Explanation

A. Nitroglycerin is a contraindication for sildenafil because both medications can cause a significant drop in blood pressure when taken together, leading to hypotension and potentially life-threatening complications.
B. Albuterol, a bronchodilator, is not a contraindication for sildenafil.

C. Furosemide, a diuretic, is not a contraindication for sildenafil.

D. Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), is not a contraindication for sildenafil.

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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

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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.