A nurse is collecting data from a client who is taking levodopa-carbidopa to treat Parkinson's disease. Which of the following findings should the nurse document as an adverse effect of this medication?

A. Place a pulse oximeter on the client's finger. While assessing oxygen saturation is important, it is not the priority in this situation. The client is cyanotic with a respiratory rate of 8/min and shallow respirations, indicating severe respiratory compromise. Immediate intervention is needed before assessing oxygen saturation.
B. Administer oxygen to the client. Providing oxygen is appropriate, but it will not be effective if the client's airway is obstructed or if their respirations are inadequate. Oxygen delivery is only useful when there is a patent airway and effective ventilation.
C. Check the client's pulse rate. Assessing circulation is important, but the priority in this situation is ensuring an open airway to allow for adequate oxygenation. The client's respiratory status suggests that they may not be effectively exchanging oxygen, which must be addressed immediately.
D. Establish a patent airway for the client. The priority action is to ensure a patent airway, as compromised respirations can lead to respiratory failure and cardiac arrest. Airway management, such as repositioning the head, using airway adjuncts, or preparing for assisted ventilation, takes precedence over other interventions to ensure oxygen delivery.

A. Place the client in a room with a high-efficiency particulate air (HEPA) filter. HEPA filtration is used for airborne precautions, such as tuberculosis. MRSA is transmitted through direct contact, so a private room or cohorting with another MRSA-positive client is sufficient.
B. Don gloves prior to assisting the client with brushing their teeth. MRSA is primarily spread via direct contact with infected wounds, secretions, or contaminated surfaces. Wearing gloves when providing personal care helps prevent transmission.
C. Ensure that the negative air pressure is active for the client's room. Negative pressure rooms are necessary for airborne pathogens like tuberculosis or measles. MRSA does not require airborne precautions, so this is not needed.
D. Have the client wear a mask when they are out of their room. A mask is only required if MRSA is present in the respiratory tract and the client has a productive cough. Standard contact precautions, such as hand hygiene and personal protective equipment, are the primary infection control measures.