A patient who has Parkinson's will begin taking carbidopa-levodopa.
What information will the nurse include when teaching this patient about this medication?
Discontinue the drug if you experience insomnia.
Rise slowly from your bed or chair to avoid dizziness and falls.
Call your health care provider immediately if your urine turns a dark color.
Take the drug with foods high in protein to improve drug delivery.
The Correct Answer is B
Choice A rationale
Discontinuing carbidopa-levodopa abruptly can lead to withdrawal symptoms and a worsening of Parkinson's symptoms. Insomnia is a possible side effect but should be managed under medical supervision.
Choice B rationale
Carbidopa-levodopa can cause orthostatic hypotension, leading to dizziness and an increased risk of falls. Patients should be advised to rise slowly from a sitting or lying position to prevent these effects.
Choice C rationale
Dark urine can be a harmless side effect of carbidopa-levodopa due to the excretion of metabolites. It is not usually a cause for concern unless accompanied by other symptoms.
Choice D rationale
High-protein foods can interfere with the absorption of carbidopa-levodopa, reducing its effectiveness. It is recommended to take the medication on an empty stomach or with low-protein foods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Cholinergic agonists primarily stimulate the parasympathetic nervous system rather than the central nervous system, affecting activities like digestion, salivation, and decreased heart rate.
Choice B rationale
Parasympathetic nervous system is the correct answer. Cholinergic agonists mimic acetylcholine and stimulate parasympathetic responses, promoting rest-and-digest functions such as reducing heart rate and enhancing glandular secretions.
Choice C rationale
The sympathetic nervous system is not stimulated by cholinergic agonists. Instead, this system is activated by adrenergic agonists, which prepare the body for fight-or-flight responses, increasing heart rate and blood pressure.
Choice D rationale
Voluntary nervous system control is not the primary target of cholinergic agonists. This system governs skeletal muscle movement and is influenced by neuromuscular junctions rather than the autonomic responses modulated by cholinergic drugs. .
Correct Answer is C
Explanation
Choice A rationale
Exhibiting the ability to provide self-care may not be realistic for a patient with advanced Alzheimer’s disease. Cognitive decline may impair their ability to perform daily activities independently, necessitating assistance from caregivers.
Choice B rationale
Improving memory for recent events is unlikely in advanced Alzheimer’s disease, as the condition typically involves progressive memory loss and cognitive decline. New medications may help manage symptoms, but reversing memory loss is not a realistic goal.
Choice C rationale
Receiving appropriate assistance for care needs is a realistic and achievable goal for patients with advanced Alzheimer’s disease. As the disease progresses, patients will require increasing levels of support to ensure their safety and well-being.
Choice D rationale
Demonstrating improved cognitive function is unlikely in advanced Alzheimer’s disease. While medications may help manage symptoms, the progressive nature of the disease means that cognitive decline will continue, and improvement is not a realistic expectation.
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