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: Before administering lithium, the nurse should assess serum creatinine levels. Lithium is excreted by the kidneys, and impaired renal function can lead to lithium toxicity.
Choice B rationale: Serum troponin I and T levels are markers of cardiac damage and are not directly related to lithium therapy.
Choice C rationale: Fasting blood glucose level is not specifically related to the assessment needed before administering lithium.
Choice D rationale: Serum lipid profile is not directly related to the assessment needed before administering lithium.
Correct Answer is C
Explanation
Choice A rationale: 1500 mg is below the recommended maximum dose of acetaminophen.
Choice B rationale: 2000 mg is below the recommended maximum dose of acetaminophen.
Choice C rationale: The maximum recommended dose of acetaminophen in a 24-hour period is 4000 mg.
Choice D rationale: 5000 mg exceeds the recommended maximum dose of acetaminophen and can lead to liver damage.
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