A nurse is caring for a client in a provider's office.
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
“You may initially notice an increase in involuntary movements."
“The medication can cause nausea, so take with a meal.”
“You may notice your urine becomes lighter in color."
“You can experience vivid nightmares."
“This medication can make you light-headed if you stand up too quickly from a seated or lying position."
"Consumption of a high protein meal can reduce the effectiveness of the medication."
Correct Answer : A,B,D,E,F
A. “You may initially notice an increase in involuntary movements."- Levodopa- carbidopa can initially cause an increase in involuntary movements, known as dyskinesias. This is an important aspect to educate the client about, as it may be alarming if not expected.
B. “The medication can cause nausea, so take with a meal.”- It is also crucial to mention that the medication can cause nausea; therefore, taking it with a meal can help mitigate this issue
C. “You may notice your urine becomes lighter in color."- Levodopa can cause dark- colored urine (brown, black) and not light discoloration.
D. “You can experience vivid nightmares."- Vivid dreams or nightmares are possible side effects of levodopa-carbidopa therapy. Informing the client about this potential adverse effect prepares them for what they may experience.
E. “This medication can make you light-headed if you stand up too quickly from a seated or lying position."- Orthostatic hypotension is a common side effect of levodopa-carbidopa, especially when standing up quickly. Advising the client about this risk helps prevent falls and injuries.
F. "Consumption of a high protein meal can reduce the effectiveness of the medication."- Protein intake can interfere with the absorption of levodopa. Therefore, advising the client to avoid high-protein meals around the time of medication administration can optimize its effectiveness.
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Related Questions
Correct Answer is C
Explanation
A) To verify the frequency of administration of the verapamil - The frequency of administration should already be documented and verified by the prescribing provider.
B) To report the client's refusal to take the verapamil - Reporting the client's refusal is important but does not require consultation with the pharmacist.
C) To assess compatibility of the verapamil with newly ordered medications - Verapamil can interact with various medications, so consulting the pharmacist is important to assess compatibility with newly ordered medications.
D) To request a change in the dosage of the verapamil - Changing the dosage of verapamil should be discussed with the prescribing provider, not the pharmacist.
Correct Answer is A
Explanation
A) Subcutaneous - Epoetin alfa is typically administered via subcutaneous injection to stimulate red blood cell production in clients with anemia.
B) Intranasal - Intranasal administration is not a typical route for epoetin alfa.
C) Oral - Epoetin alfa is not effective when administered orally due to degradation in the gastrointestinal tract.
D) Transdermal - Epoetin alfa is not typically administered transdermally.
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