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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Activity intolerance related to ischemia is a common concern for clients with AMI, but it is not the primary nursing problem when the client is receiving thrombolytic therapy. The focus should be on monitoring for complications related to the therapy itself.

Choice B reason: Risk for injury related to effects of thrombolytics is the priority nursing problem for a client receiving thrombolytic therapy. Thrombolytics can cause serious bleeding complications, including internal bleeding, hemorrhage at vascular access sites, gastrointestinal bleeding, or intracranial bleeding. The nurse must closely monitor the client for signs and symptoms of bleeding, such as sudden onset or worsening of headache, changes in level of consciousness, hematuria, melena, ecchymosis, or hematoma formation.

Choice C reason: Ineffective breathing pattern related to adverse drug effects can occur following thrombolytic therapy, but it is not the primary concern. The risk of bleeding complications takes precedence as the priority nursing problem for this client.

Choice D reason: Deficient knowledge related to a new medication regimen is important for client understanding and adherence, but it is not the priority nursing problem in the immediate post-thrombolytic therapy period. Ensuring the client's safety by monitoring for bleeding complications is the primary focus.

A. Reports of a bad taste in the mouth. B. Low concentrated urine output. C. Dyspnea and sinus tachycardia. D. Productive cough and fever.

Correct Answer is C

Explanation

Choice A reason: Reports of a bad taste in the mouth can be associated with various conditions, including metabolic imbalances, but it is not typically an immediate concern in the context of AKI.

Choice B reason: Low concentrated urine output (oliguria) is a common finding in AKI and indicates decreased kidney function. While it is an important assessment finding, it does not usually require immediate intervention compared to signs of severe complications.

Choice C reason: Dyspnea (difficulty breathing) and sinus tachycardia (rapid heart rate) can indicate fluid overload or pulmonary edema, which are serious complications of AKI. These symptoms require immediate intervention to prevent respiratory distress and potential cardiac complications.

Choice D reason: A productive cough and fever may suggest an infection, which is important to address but not necessarily an immediate life-threatening issue compared to dyspnea and tachycardia in the context of AKI.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI) has which nursing problem?

Correct Answer is B

Explanation

A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

Correct Answer is C

Explanation

An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?

Exhibits Complete the diagram by choosing from the choices below to specify which condition the client is most likely experiencing, two actions the nurse should take to address the condition, and two parameters the nurse should monitor to assess the client's progress.

A nurse is developing home care instructions for a client with peripheral artery disease (PAD). Which intervention should the nurse include?

A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?a) Cerebrovascular accident (CV

A client who takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Exhibits The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.