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 B
Explanation
A. The patient's understanding of the medication:
While it's important for the patient to understand their medication, assessing their understanding is typically done through patient education and counseling. This assessment is vital for promoting adherence and safe medication practices but is not the primary consideration immediately before administration.
B. The patient's ability to swallow:
This is the correct answer. Assessing the patient's ability to swallow is crucial before administering oral medications to ensure that the patient can safely and effectively take the prescribed medication without the risk of aspiration or choking.
C. The patient's allergies:
Assessing the patient's allergies is an essential step in medication administration, but it is generally part of the overall medication safety process. It may not be the primary assessment immediately before administering an oral medication, but it is a crucial consideration.
D. The eyesight:
The patient's eyesight is not typically a primary assessment before administering oral medications. While visual impairments can affect a patient's ability to read medication labels or instructions, it is not the immediate concern when assessing readiness for oral medication administration.
Correct Answer is C
Explanation
A. Parkinson's disease
Edrophonium is not used for the diagnosis of Parkinson's disease. Parkinson's disease is a neurodegenerative disorder characterized by motor symptoms such as tremors, rigidity, and bradykinesia. The diagnosis is typically based on clinical symptoms and neurological examination.
B. Alzheimer's disease
Edrophonium is not used for the diagnosis of Alzheimer's disease. Alzheimer's disease is a progressive neurodegenerative disorder affecting cognition. The diagnosis involves clinical evaluation, cognitive assessments, and sometimes imaging studies, but not the use of edrophonium.
C. Myasthenia Gravis
This is the correct choice. Edrophonium is used as a diagnostic tool in Myasthenia Gravis. In individuals with Myasthenia Gravis, the administration of edrophonium can lead to a temporary improvement in muscle strength, helping to confirm the diagnosis.
D. Serotonin Syndrome
Edrophonium is not used for the diagnosis of serotonin syndrome. Serotonin syndrome is a condition caused by an excess of serotonin, often due to the use of certain medications. Diagnosis is based on clinical symptoms and a history of serotonin-affecting medications, not the administration of edrophonium.

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