A patient has been treated with antiparkinson medications for 3 months. What therapeutic responses should the nurse look for when assessing this patient?
Improved ability to perform activities of daily living
Decreased appetite
Newly developed dyskinesias
Gradual development of cogwheel rigidity
The Correct Answer is A
A. Improved ability to perform activities of daily living: Antiparkinson medications are aimed at improving motor symptoms such as tremors, rigidity, and bradykinesia, leading to improved function in activities of daily living.
B. Decreased appetite: Decreased appetite is not a therapeutic response to antiparkinson medications. In fact, some medications may cause weight gain due to increased appetite.
C. Newly developed dyskinesias: Dyskinesias are involuntary movements that can occur as a side effect of long-term treatment with antiparkinson medications, particularly levodopa. They are not a therapeutic response and may require adjustments to medication.
D. Gradual development of cogwheel rigidity: Cogwheel rigidity is a symptom of Parkinson's disease and would not be expected to develop gradually with treatment. Antiparkinson
medications aim to reduce rigidity, not cause it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Gtt/min= Volume per hour× Drop factor/ Time in minutes per hour Given:
Volume per hour = 150 mL Drop factor = 20 gtt/mL
Time in minutes per hour = 60 minutes Gtt/min= 150mL/hr×20gtt/mL/60min/hr Gtt/min=50
Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min
Correct Answer is ["A","D","E"]
Explanation
A. Oral contraceptives: Phenobarbital can decrease the effectiveness of oral contraceptives, increasing the risk of contraceptive failure and unintended pregnancy.
B. Antihistamines: While phenobarbital can induce hepatic enzymes, leading to increased
metabolism of some antihistamines, this interaction is less clinically significant compared to the interactions with oral contraceptives, opioids, and diuretics.
C. Warfarin: Phenobarbital can induce the metabolism of warfarin, potentially reducing its anticoagulant effects and necessitating closer monitoring of international normalized ratio (INR) levels.
D. Opioids: Phenobarbital can increase the metabolism of opioids, leading to reduced analgesic effects and potentially causing inadequate pain control.
E. Diuretics: Phenobarbital can accelerate the metabolism of diuretics, potentially reducing their efficacy and necessitating adjustments in dosage or monitoring of electrolyte levels.
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