A nurse is reinforcing teaching with a client who has Parkinson's disease.
The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa.
Which of the following foods should the nurse recommend the client take with the medication?.
1 cup (8oz) plain low-fat yogurt.
1 cup (8oz) of applesauce.
1 cup (8 oz) cooked spinach.
1 oz of cheddar cheese.
The Correct Answer is B
Choice A rationale:
1 cup (8oz) plain low-fat yogurt. This is incorrect choice. Yogurt is a high-protein food that can increase nausea and reduce the absorption of levodopa/carbidopa. According to the American Parkinson Disease Association, taking levodopa/carbidopa with a small, low-protein snack can help with nausea symptoms.
Choice B rationale:
1 cup (8oz) of applesauce. This is a correct choice. Applesauce is a low-protein, low-fiber food that can help reduce nausea and improve the absorption of levodopa/carbidopa. According to Drugs.com, taking levodopa/carbidopa with foods that have a high fiber content can delay the drug’s absorption into the body. Applesauce also contains natural sugars that can provide some energy and hydration to the client.
Choice C rationale:
1 cup (8 oz) cooked spinach. This is an incorrect choice. Spinach is a high-protein, high-fiber food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation3, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fiber foods can also slow down the gastric emptying and reduce the drug’s availability.
Choice D rationale:
1 oz of cheddar cheese. This is an incorrect choice. Cheese is a high-protein, high-fat food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fat foods can also delay the gastric emptying and reduce the drug’s availability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Baclofen is a muscle relaxant and antispastic agent. It can cause drowsiness and affect the ability to drive or operate machinery. Therefore, it’s advisable to avoid driving until the medication’s effects are evident.
Choice B rationale:
Headache is not a reason to stop taking baclofen. If a headache occurs, the client should consult with their healthcare provider for appropriate management.
Choice C rationale:
Diarrhea is not a common adverse effect of baclofen. More common side effects include drowsiness, dizziness, weakness, and fatigue.
Choice D rationale:
Baclofen can be taken with or without food. Taking it on an empty stomach is not necessary and may increase the risk of stomach upset.
So, the correct answer is A.
Correct Answer is C
Explanation
Choice A rationale:
The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.
Choice B rationale:
Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.
Choice C rationale:
This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.
Choice D rationale:
Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.
So, the correct answer is C, after analyzing all choices.
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