When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?
Assists in aritisejüre medication reducing the tremors caused by the disease
Increases the amount of dopamine available for muscles to function correctly
Reduces the inflammatory process improving nerve transmission and function
Slows the degeneration in the myelin sheath improving muscle tone and strength
The Correct Answer is B
Choice A reason: This option has some errors in the text. The correct explanation should note that carbidopa-levodopa does help reduce the tremors caused by Parkinson's disease, but it primarily works by increasing dopamine levels rather than by assisting other medications. The choice does not clearly state the main mechanism of action of carbidopa-levodopa.
Choice B reason: Carbidopa-levodopa is a combination drug used to treat symptoms of Parkinson's disease. Levodopa is converted into dopamine in the brain, helping to replenish the depleted dopamine levels. Carbidopa helps to prevent the breakdown of levodopa before it reaches the brain. This increases the amount of dopamine available, which is crucial for muscle function and reducing symptoms like tremors and rigidity.
Choice C reason: This option is incorrect because carbidopa-levodopa does not work by reducing inflammation. Instead, it focuses on restoring the balance of dopamine in the brain. Parkinson's disease is primarily a neurodegenerative disorder, not an inflammatory one, so this explanation does not align with the drug's mechanism of action.
Choice D reason: This option is also incorrect as it suggests that carbidopa-levodopa works by slowing the degeneration of the myelin sheath. Parkinson's disease involves the loss of dopamine-producing neurons, not the degeneration of myelin. Therefore, this explanation does not accurately reflect the drug's purpose or mechanism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","G"]
Explanation
Choice A reason:
Infection prevention is crucial in managing appendicitis. Administering preoperative antibiotics, such as cefazolin, helps prevent surgical site infections and other complications. This aligns with standard care protocols for appendicitis patients.
Choice B reason:
Relieving acute pain is a priority in appendicitis care. Administering analgesics, including opioids, acetaminophen, and NSAIDs, effectively manages pain and reduces inflammation. Providing distraction techniques can also help alleviate discomfort until pain relief is achieved.
Choice C reason:
Client education about the diagnosis and plan of care is essential. Informing the patient about appendicitis, the surgical procedure, and postoperative expectations reduces anxiety and promotes cooperation. Effective communication enhances patient outcomes and satisfaction.
Choice D reason:
Effective coping with illness-related anxiety is important. Providing emotional support and addressing concerns can help the patient manage anxiety associated with the diagnosis and impending surgery. This approach contributes to overall well-being and recovery.
Choice G reason:
Fluid volume management is vital in appendicitis care. Administering intravenous fluids, such as Ringer's lactate, maintains hydration, supports renal function, and prepares the patient for surgery. Proper fluid balance is essential for optimal physiological function.
Correct Answer is C
Explanation
Choice A reason: Rubbing painful areas gently may provide temporary relief, but it is not a specific or effective long-term management strategy for Raynaud's disease. This advice could lead to further discomfort if not done correctly, and it does not address the primary trigger, which is cold exposure.
Choice B reason: Enrolling in a pain clinic can provide pain relief alternatives, but this is a general recommendation and not specific to the management of Raynaud's disease. While pain clinics can be helpful for chronic pain management, practical daily interventions are also crucial for this condition.
Choice C reason: Wearing gloves when handling cold items is a direct and practical way to prevent painful spasms associated with Raynaud's disease. This condition is characterized by episodes of reduced blood flow to the extremities, typically triggered by cold temperatures. By wearing gloves, the client can protect their hands from cold exposure, which helps prevent these painful spasms.
Choice D reason: Return appointments for IV pain medication are not typical for managing Raynaud's disease. Pain management for Raynaud's generally focuses on preventive measures and lifestyle adjustments to avoid triggers, rather than relying on IV medications for pain relief.
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