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","C","E"]
Explanation
A. Bradycardia
Bradycardia (slow heart rate) is a symptom of cholinergic crisis. Excessive stimulation of acetylcholine receptors can lead to bradycardia.
B. Rash
Rash is not typically associated with cholinergic crisis. Instead, it may be associated with other conditions or drug reactions.
C. Vomiting
Vomiting is a symptom of cholinergic crisis. Excessive stimulation of the gastrointestinal tract by acetylcholine can lead to increased gastrointestinal motility and nausea/vomiting.
D. Fever
Fever is not typically associated with cholinergic crisis. Instead, it may suggest an infection or other inflammatory condition.
E. Drooling
Drooling is a symptom of cholinergic crisis. Excessive stimulation of salivary glands by acetylcholine can lead to increased salivation and drooling.
Correct Answer is A
Explanation
A. Headache, dizziness, and fatigue
Ondansetron (Zofran) is commonly used to control nausea and vomiting associated with chemotherapy. While it is generally well-tolerated, some common side effects may include headache, dizziness, and fatigue.
B. Anorexia and hair loss
Anorexia (loss of appetite) and hair loss are not commonly associated with ondansetron. These symptoms may be side effects of chemotherapy itself, but they are not typically attributed to ondansetron.
C. Abdominal cramping and irritability
Abdominal cramping and irritability are not common side effects of ondansetron. These symptoms may be related to other factors, but they are not typically associated with this antiemetic medication.
D. Psychosis and middle ear disturbances
Psychosis and middle ear disturbances are not common side effects of ondansetron. These symptoms may be associated with other medications or conditions, but they are not typically attributed to ondansetron.
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