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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Bradycardia

Bradycardia is not a common side effect of diphenoxylate with atropine. Atropine, which is included in the combination, has anticholinergic effects that can lead to an increased heart rate (tachycardia), not bradycardia.

B. Fluid retention

Fluid retention is not a common side effect of diphenoxylate with atropine. In fact, the medication is used to treat severe diarrhea, and the goal is to decrease fluid loss associated with diarrhea rather than causing fluid retention.

C. Nervousness and tremors

Nervousness and tremors are not common side effects of diphenoxylate with atropine. Atropine's anticholinergic effects may cause nervousness, but these effects are generally not prominent at therapeutic doses.

D. Respiratory depression

This is the correct choice. Respiratory depression is a potential side effect of diphenoxylate with atropine, particularly if the medication is misused or taken in excessive amounts. Atropine is included in the combination to discourage misuse, as it can cause unpleasant anticholinergic effects.

Correct Answer is ["75"]

Explanation

To calculate the rate of IV infusion, the nurse should divide the volume of fluid by the time in hours.

In this case, 750 mL divided by 10 hours equals 75 mL per hour.

Therefore, the nurse should program the IV infusion pump for 75 mL per hour.

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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

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Naxlex Comprehensive Predictor Exams

The nurse is caring for an older adult who is receiving diphenoxylate with atropine to treat severe diarrhea. The nurse will monitor this patient closely for which effect?

Correct Answer is D

Explanation

Prescribed is 750 mL of IV fluids to infuse in 10 hours. What rate should the nurse program the IV infusion pump for?

Correct Answer is ["75"]

Explanation

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

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