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 C
Explanation
Choice A rationale: Dopamine receptor activation is not associated with uterine muscle relaxation. It is more commonly associated with increased blood pressure.
Choice B rationale: Dopamine receptor activation is not associated with the contraction of skeletal muscle.
Choice C rationale: Activation of dopamine receptors is associated with increased blood pressure and improved renal perfusion.
Choice D rationale: Dopamine receptor activation is not associated with decreased piloerection.
Correct Answer is D
Explanation
Choice A rationale: Allopurinol dosing is not typically adjusted based on target serum drug levels.
Choice B rationale: The absence of gastrointestinal (GI) effects is not a parameter used to adjust the dosing of allopurinol.
Choice C rationale: This is partially correct. Allopurinol dosing is adjusted based on renal function, but specifically, it is adjusted based on serum creatinine levels. The higher the creatinine levels, the lower the dose of allopurinol should be.
Choice D rationale: This is correct. Allopurinol dosing is adjusted based on plasma urate levels. The goal is to reduce uric acid levels in the blood to prevent the formation of urate crystals and subsequent gout attacks. Regular monitoring of plasma urate levels helps determine the effectiveness of the medication, and adjustments can be made to achieve the target urate level.
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