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

A. High-sodium foods: Sodium intake is not specifically contraindicated with methylphenidate (Ritalin). However, maintaining a balanced and healthy diet is generally recommended for overall well-being.

B. High-sugar foods and drinks: While there is no strict contraindication with methylphenidate and sugar, a diet high in sugar may contribute to hyperactivity and may not be conducive to managing symptoms of ADHD. It's advisable to promote a balanced diet with reduced sugar intake.

C. High-fat foods: There is no direct contraindication between methylphenidate and high-fat foods. However, maintaining a balanced diet with a moderate intake of fats is generally recommended for overall health.

D. Caffeinated foods and drinks: This is the correct answer. Methylphenidate is a stimulant, and combining it with additional sources of caffeine can lead to an increase in stimulant effects, potentially causing adverse reactions.

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.