A client is prescribed the dopamine agonist pramipexole. Which statement made by the patient indicates a need for further teaching?
The drug should be taken with food to prevent nausea."
"I may experience hallucinations while taking this drug."
"I should rise slowly to prevent dizziness and fainting."
"This drug will stop the progression of Parkinson disease."
The Correct Answer is D
Choice A rationale: Taking pramipexole with food can help reduce the risk of nausea, making this statement accurate.
Choice B rationale: Hallucinations are a potential side effect of dopamine agonists, so this statement is correct.
Choice C rationale: Rising slowly can help minimize orthostatic hypotension, a common side effect of dopamine agonists, making this statement accurate.
Choice D rationale: Pramipexole and other dopamine agonists help manage symptoms but do not stop the progression of Parkinson's disease. Further education is needed on the realistic expectations of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Alprazolam (Xanax) exerts its therapeutic effect by interacting with gamma-aminobutyric acid (GABA) receptors, leading to anxiolytic and sedative effects.
Choice B rationale: Norepinephrine is not the primary neurotransmitter affected by alprazolam.
Choice C rationale: Acetylcholine is not the primary neurotransmitter affected by alprazolam.
Choice D rationale: Serotonin (5-HT) is not the primary neurotransmitter affected by alprazolam.

Correct Answer is C
Explanation
Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.
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