The nurse is teaching a client with parkinsonism about carbidopa-levodopa. Which statement(s) by the client indicate(s) the need for further teaching? Select All That Apply
"This medication may make my movements smoother."
"My skin may turn yellow if I miss too many doses."
"I need to take vitamin B6 supplements medication with this medication."
“I should take this medicine on an empty stomach."
I need to check my blood sugar regularly while taking this
Correct Answer : B,C,D,E
A. "This medication may make my movements smoother."
This statement is correct. Carbidopa-levodopa is used to improve motor symptoms in parkinsonism, making movements smoother.
B. "My skin may turn yellow if I miss too many doses."
This statement is not accurate. Yellowing of the skin (jaundice) is not a known side effect of carbidopa-levodopa. This statement indicates a need for further clarification.
C. "I need to take vitamin B6 supplements with this medication."
This statement is incorrect. While vitamin B6 (pyridoxine) can reduce the effectiveness of levodopa, carbidopa is included in the formulation to prevent its peripheral conversion, allowing more levodopa to reach the brain. Vitamin B6 supplements are generally not recommended with carbidopa-levodopa.
D. "I should take this medicine on an empty stomach."
This statement is not accurate. Carbidopa-levodopa is typically taken with food to reduce gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea.
E. "I need to check my blood sugar regularly while taking this."
This statement is not directly related to carbidopa-levodopa. Monitoring blood sugar is essential for individuals with diabetes but is not a specific requirement related to this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Bisacodyl (Dulcolax) increases peristalsis to produce a bowel movement." - This is correct. Bisacodyl is a stimulant laxative that works by irritating the intestines, leading to increased peristalsis and bowel movements.
B. "Bisacodyl (Dulcolax) is incompatible with alcohol consumption." - There is no specific information suggesting incompatibility with alcohol. However, excessive alcohol consumption can contribute to constipation, and it's generally advisable to stay hydrated, which can be affected by alcohol intake.
C. "Bisacodyl (Dulcolax) should be avoided during pregnancy as it is teratogenic." - There is no strong evidence to suggest that bisacodyl is teratogenic. However, it is recommended to use laxatives cautiously during pregnancy and under the guidance of a healthcare provider.
D. "Bisacodyl (Dulcolax) may lead to paralytic ileus." - Paralytic ileus is not a common side effect of bisacodyl. However, it's important to use laxatives cautiously in individuals with a history of bowel obstruction or other gastrointestinal issues.
Correct Answer is C
Explanation
A. A learning disorder and muscle paralysis
This description does not align with the typical symptoms of ADHD. ADHD is characterized by core symptoms of inattention, hyperactivity, and impulsivity. Muscle paralysis is not a recognized symptom of ADHD.
B. Nervousness and sleeplessness
While some individuals with ADHD may experience difficulties with sleep, nervousness and sleeplessness are not the primary symptoms of ADHD. ADHD is more characterized by difficulties with attention, hyperactivity, and impulsivity.
C. Hyperactivity and decreased attention span
This is the correct choice. Hyperactivity and a decreased attention span are core symptoms of ADHD. Children with ADHD often display impulsive behaviors, have difficulty sustaining attention, and may be overly active.
D. Hyperactivity and nervousness
While hyperactivity is a common symptom of ADHD, nervousness is not typically described as a core symptom. ADHD is more characterized by impulsivity, hyperactivity, and attention difficulties.
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