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?
Bradycardia
Hypotension
Constricted pupils
Urinary frequency
The Correct Answer is B
A. Bradycardia is not a common adverse effect of levodopa-carbidopa. Instead, it may sometimes cause tachycardia (increased heart rate) in some patients. Monitoring for cardiovascular changes is essential, but bradycardia is not typically associated with this medication.
B. Hypotension is a documented adverse effect of levodopa-carbidopa. This medication can cause orthostatic hypotension, which is a drop in blood pressure when standing up, leading to dizziness or fainting. This finding should be carefully monitored and documented, as it can increase the risk of falls.
C. Constricted pupils are not typically an adverse effect of levodopa-carbidopa. Instead, this medication may cause dilated pupils (mydriasis) as a result of its effects on the autonomic nervous system, particularly if the patient is taking other medications that can affect pupil size.
D. Urinary frequency can occur with levodopa-carbidopa; however, it is not commonly classified as a significant adverse effect. While changes in urinary habits can happen, they are more often related to Parkinson's disease itself rather than the medication specifically. Therefore, urinary frequency should be monitored but is not a primary concern compared to hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Measure the duration of the seizure. Monitoring the duration of a seizure is critical in determining whether it is self-limiting or prolonged. Seizures lasting longer than five minutes may indicate status epilepticus, requiring emergency intervention. Documenting the start and end times helps guide appropriate medical management.
B. Restrain the client's arms and legs to prevent injury. Restraining a client during a seizure can cause musculoskeletal injury or increase agitation. Instead, the nurse should ensure the client is in a safe position, remove nearby hazards, and allow the seizure to run its course while protecting the head.
C. Insert an oral airway into the client's mouth. Forcing an airway device or object into a seizing client's mouth can cause oral trauma, aspiration, or obstruction. The priority is to maintain a patent airway by positioning the client on their side to allow secretions to drain and prevent aspiration.
D. Lower the side rails of the bed when the seizure begins. Lowering the side rails increases the risk of the client falling out of bed during convulsions. If the client is already in bed, keeping the side rails up and padded can help prevent injury while allowing safe observation of the seizure activity.
Correct Answer is B
Explanation
A. "I should not feed my baby anything for 2 hours prior to an immunization." There are no dietary restrictions before routine infant vaccinations. Feeding is encouraged as usual, and breastfeeding may help soothe the infant after immunization.
B. "My baby will receive the rotavirus immunization orally." The rotavirus vaccine is administered orally as a liquid, not as an injection. This vaccine helps protect against severe diarrheal illness caused by rotavirus.
C. "I should expect my baby to have a high fever for 24 hours after an immunization." Mild fever and irritability are common side effects, but a high fever is not expected. Persistent or severe fever should be reported to a healthcare provider.
D. "My baby will receive three doses of the meningococcal immunization before kindergarten." The meningococcal vaccine is not routinely given in infancy. It is typically administered at 11–12 years of age, with a booster at 16 years, unless the infant is at high risk due to certain medical conditions.
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