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."
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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Related Questions
Correct Answer is D
Explanation
Certain foods can interact with medications by inhibiting or inducing cytochrome P450 (CYP) enzymes, which play a crucial role in drug metabolism ¹. This can alter the way the body processes medications and affect their efficacy and safety ¹.
Option A is not correct because not all medications are best absorbed on an empty stomach. Some medications should be taken with food to improve absorption or reduce side effects ¹.
Option B is not correct because client discomfort is not the only concern when it comes to food and medication interactions.
Option C is not correct because foods can also alter the action of medications ¹.
Correct Answer is ["A","D"]
Explanation
A. Tolerance can develop over time and lead to the need for higher doses – This is correct because long-term use of clonazepam, like other benzodiazepines, can result in tolerance, potentially necessitating higher doses to achieve the same therapeutic effect.
B. Skip a dose if you need to drive – This is incorrect. Clients should be advised to take their medication as prescribed and consult their healthcare provider about driving, as clonazepam can impair coordination and reaction times.
C. Skip a dose if you plan to go out drinking with friends – This is incorrect. While it’s important to avoid alcohol when taking clonazepam due to the increased risk of sedation and respiratory depression, clients should not skip doses without consulting their healthcare provider.
D. Do not try to taper yourself off this medication without physician guidance – This is correct. Stopping clonazepam suddenly can lead to withdrawal symptoms and seizure recurrence, so any changes in medication should always be done under the guidance of a healthcare provider.
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