The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Dyskinesias

Dyspnea

Hypertension

Cold intolerance

Answer and Explanation

The Correct Answer is A

Choice A reason: Dyskinesias, which are involuntary, erratic, writhing movements of the face, arms, legs, or trunk, are common side effects of long-term use of levodopa and carbidopa, especially after many years of therapy.

Choice B reason: Dyspnea, or difficulty breathing, is not commonly associated as a side effect of levodopa and carbidopa.

Choice C reason: Hypertension is not typically a side effect of levodopa and carbidopa; these medications can sometimes cause low blood pressure, particularly upon standing.

Choice D reason: Cold intolerance is not a recognized side effect of levodopa and carbidopa.

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Correct Answer is B

Explanation

Choice A reason: While individuals with rheumatoid arthritis may have an increased risk of infection due to the disease itself or the use of immunosuppressive medications, it does not pose as high a risk as intravenous lines for sepsis.

Choice B reason: A peripherally inserted central catheter (PICC) line, especially when used for total parenteral nutrition (TPN), presents a significant risk for infection due to the direct access to the bloodstream, making this client at the highest risk for sepsis.

Choice C reason: Asthma and bronchitis can lead to respiratory infections, but these conditions do not typically result in sepsis unless the infection becomes severe and systemic.

Choice D reason: Renal calculi (kidney stones) can cause infections; however, they are less likely to lead to sepsis compared to a central line.

A. Slowed movement when rising from a chair B. Chronic diarrhea C. Difficulty swallowing D. Shuffling gait

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Slowed movement when rising from a chair is a common symptom of Parkinson's disease, known as bradykinesia.

Choice B reason: Chronic diarrhea is not typically associated with Parkinson's disease.

Choice C reason: Difficulty swallowing, or dysphagia, is a common issue in Parkinson's disease due to impaired muscle control.

Choice D reason: A shuffling gait is characteristic of Parkinson's disease, often referred to as "festinating gait."

Choice E reason: Lower extremity edema is not a typical symptom of Parkinson's disease and may indicate other health issues.

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The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client does the nurse identify as having the greatest risk for the development of sepsis?

Correct Answer is B

Explanation

The nurse is assessing a client diagnosed with Parkinson's disease. Which data would the nurse anticipate? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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