The nurse is teaching a patient who has Parkinson's disease about the side effects of carbidopa-levodopa. Which statement by the patient indicates a need for further teaching?
"I may experience urinary retention, dry mouth, and constipation."
"I may feel dizzy at first, but this side effect will go away with time."
"I should report nightmares and mental disturbances to my provider."
"I should take the drug with food to increase absorption."
The Correct Answer is D
A. "I may experience urinary retention, dry mouth, and constipation."
This statement is accurate. Urinary retention, dry mouth, and constipation are common side effects of carbidopa-levodopa. The patient should be aware of these potential side effects and report them to the healthcare provider if they become problematic.
B. "I may feel dizzy at first, but this side effect will go away with time."
This statement is accurate. Dizziness is a common initial side effect of carbidopa-levodopa, and it often improves with continued use. The patient should be encouraged to report persistent dizziness to the healthcare provider.
C. "I should report nightmares and mental disturbances to my provider."
This statement is accurate. Nightmares and mental disturbances can be side effects of carbidopa-levodopa. The patient should report these symptoms to the healthcare provider for further evaluation and potential adjustments to the medication.
D. "I should take the drug with food to increase absorption."
This statement indicates a need for further teaching. Carbidopa-levodopa is best absorbed when taken on an empty stomach. Taking it with food, especially high-protein meals, can reduce its absorption. The patient should be instructed to take the medication at least 30 minutes before meals or one to two hours after meals for optimal effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Avoid caffeine-containing beverages before sleep
The highest priority teaching point to help relieve sleeplessness would be to advise the client to avoid caffeine-containing beverages before sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and maintain a restful sleep.
B. Perform strenuous exercise before bedtime
Strenuous exercise close to bedtime can actually stimulate the body and make it more difficult for the individual to relax and fall asleep. It is generally recommended to engage in exercise earlier in the day.
C. Drink lots of fluids before bedtime
Drinking excessive fluids before bedtime may lead to disrupted sleep as it can increase the need to wake up for bathroom trips during the night. It's advisable to limit fluid intake close to bedtime.
D. Eat a heavy meal before bedtime
Consuming a heavy meal before bedtime can cause discomfort and indigestion, potentially disrupting sleep. It is recommended to have a light, easily digestible meal if eating close to bedtime.
Correct Answer is ["125"]
Explanation
`To calculate the rate of infusion in mL/h, you need to divide the total volume of fluid by the total time of infusion.
In this case, you have 1,000 mL of normal saline (NS) to infuse in eight hours.
Therefore, the rate of infusion is 1,000 mL / 8 h = 125 mL/h.
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