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."

Answer and Explanation

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.

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Correct Answer is ["C","D"]

Explanation

A. Administer morphine 1-2 mg IV

Administering morphine is not a preventive measure for spinal headaches. It may be considered for pain relief if the patient experiences discomfort after the effects of spinal anesthesia wear off.

B. Ambulate the client as soon as she gets feelings back

Ambulating the patient too soon after spinal anesthesia is generally not recommended. Staying in bed initially helps prevent complications like spinal headaches.

C. Increase fluid intake

Adequate hydration is important after spinal anesthesia to help maintain cerebrospinal fluid volume. Increasing fluid intake can reduce the risk of developing a spinal headache.

D. Encourage the patient to stay flat in bed

Remaining in a flat or slightly elevated position helps minimize cerebrospinal fluid leakage from the puncture site, reducing the likelihood of developing a spinal headache. This position is typically recommended for a specific duration after spinal anesthesia.

E. Position the client in high Fowler's position

Placing the patient in high Fowler's position (sitting upright) may increase the risk of cerebrospinal fluid leakage, potentially leading to a spinal headache. This position is not recommended for preventing spinal headaches after spinal anesthesia.

A. Hypertension B. Anemia C. Allergy to penicillin D. Appendicitis.

Correct Answer is D

Explanation

A. Hypertension
Hypertension is not a specific concern related to the use of bisacodyl. Bisacodyl is a laxative, and high blood pressure is not typically considered a contraindication for its use.

B. Anemia
Anemia is not a specific concern related to the use of bisacodyl. The primary focus before administering bisacodyl is to assess for signs or symptoms of appendicitis, as its use is contraindicated in cases of suspected appendicitis.

C. Allergy to penicillin
Allergy to penicillin is not relevant in the context of administering bisacodyl. These are unrelated medications with different mechanisms of action, and allergy to penicillin does not impact the administration of bisacodyl.

D. Appendicitis
This is the correct choice. Before administering bisacodyl, it is crucial to assess the patient for signs or symptoms of appendicitis. The use of bisacodyl is contraindicated in cases of suspected appendicitis, as it may stimulate bowel activity and worsen the condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? Select All That Apply

Correct Answer is ["C","D"]

Explanation

A patient is ordered bisacodyl (Dulcolax). Before administering the drug, it is most important for the nurse to assess the patient for what?

Correct Answer is D

Explanation

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