The client diagnosed with Parkinson's disease has been taking carbidopa/levodopa for two years. The client states symptoms are worsening. The health care provider added the prescription donepezil to the client's daily routine. Which information should the nurse teach the client?
Take the medication on an empty stomach.
There are no side effects of this medication like there are for carbidopa/levodopa.
Discontinue the carbidopa/levodopa.
Rise slowly from a lying or sitting position.
The Correct Answer is D
Donepezil is a medication that can cause side effects such as dizziness and fainting ¹. Therefore, it is important for the client to rise slowly from a lying or sitting position to prevent falls.
Option A is incorrect because donepezil can be taken with or without food.
Option B is incorrect because donepezil does have side effects ¹.
Option C is incorrect because the health care provider added donepezil to the client's daily routine, not to replace carbidopa/levodopa.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It is important for the nurse to understand why the client is refusing to take the medication. There may be underlying reasons such as side effects, fear, or misunderstanding about the medication. By investigating and addressing these concerns, the nurse can help the client make an informed decision about their treatment.
Option A may not address the underlying reasons for noncompliance and could be perceived as confrontational.
Option C may be appropriate after understanding the reasons for noncompliance and discussing them with the provider.
Option D may also be appropriate in some cases, but it is important to first understand the reasons for noncompliance before involving a social worker.
Correct Answer is D
Explanation
Anticholinergic medications can be used to treat extrapyramidal symptoms (EPS) such as tremors and shuffling gait that can occur as side effects of first-generation antipsychotics ¹².
Option A is not correct because a direct dopamine antagonist would not be used to treat EPS.
Option B is not correct because increasing the dose of the antipsychotic medication could worsen EPS.
Option C is not correct because withholding the medication for two days could lead to a relapse of the underlying condition being treated by the antipsychotic.
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