A nurse provides teaching for a client newly diagnosed with Parkinson's disease. Which statement by the client indicates an understanding of the medication therapy for this disease?

"With adequate medication therapy, disease progression may be slowed."

"If I forget a dose, I should take the missed dose with my next dose."

"If dyskinesias occur, I should stop the medication immediately."

"A levodopa/carbidopa combination is used to improve motor function."

Answer and Explanation

The Correct Answer is D

The statement by the client that indicates an understanding of the medication therapy for Parkinson's disease is that a levodopa/carbidopa combination is used to improve motor function ⁵. Levodopa is converted into dopamine in the brain, helping to control movement ¹. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain ¹.
Option A is incorrect because medication therapy cannot slow the progression of Parkinson's disease.
Option B is incorrect because skipping a dose if the client needs to drive is not recommended.
Option C is incorrect because if dyskinesias occur, the client should not stop the medication immediately without consulting their physician.

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Correct Answer is C

Explanation

Traditional antipsychotics can increase tremors in people with Parkinson's disease ¹. These medications can block dopamine receptors in the brain, which can worsen Parkinson's symptoms ¹.
Option A is not correct because beta-blockers are not known to increase tremors in Parkinson's disease.
Option B is not correct because non-steroidal anti-inﬂammatory drugs (NSAIDs) are not known to increase tremors in Parkinson's disease.
Option D is not correct because barbiturates are not known to increase tremors in Parkinson's disease.

A. To help prevent sexual dysfunction B. To avoid weight gain and other gastrointestinal (GI) eﬀects C. To prevent the risk of serotonin syndrome D. To reduce the risk of suicide with overdose

Correct Answer is D

Explanation

A selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for several reasons, including reducing the risk of suicide with overdose ³. TCAs have a higher potential for serious or fatal toxicity when taken in large amounts compared to SSRIs ³.
Option A is incorrect because SSRIs can cause sexual dysfunction as a side effect.
Option B is incorrect because both SSRIs and TCAs can cause weight gain and gastrointestinal (GI) eﬀects.
Option C is incorrect because SSRIs can increase the risk of serotonin syndrome when taken with other medications that affect serotonin levels.

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A nurse provides teaching for a client newly diagnosed with Parkinson's disease. Which statement by the client indicates an understanding of the medication therapy for this disease?

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Naxlex Comprehensive Predictor Exams

Which medications might increase tremors in a client with Parkinson's disease?

Correct Answer is C

Explanation

The nurse is caring for a client being treated for depression. The nurse understands that a selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for which of the following reasons?

Correct Answer is D

Explanation

A client is being treated with interferon beta-1a and calls the clinic to report headache, fever, chills, and muscle aches after administering a dose. What will the nurse expect the provider to order?

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