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","C"]
Explanation
Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.
Correct Answer is B
Explanation
Choice A rationale: While methotrexate can help prevent fatal toxicities associated with rheumatoid arthritis, this is not the primary reason for its use in this context.
Choice B rationale: This is correct. Starting methotrexate early in the course of rheumatoid arthritis can help delay the disease process of joint degeneration and prevent irreversible damage.
Choice C rationale: While controlling symptoms is important for the patient's quality of life, starting methotrexate is more about preventing joint damage and progression of the disease than increasing life expectancy.
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