A nurse is caring for a patient with Parkinson's disease who has been prescribed carbidopa/levodopa. The patient reports new onset of hallucinations and impulsive behaviors. Which nursing action is the most appropriate priority?
instruct the patient to discontinue the medication immediately to prevent further side effects.
Reassure the patient that mood changes are common and do not require further action.
Advise the patient to increase dietary protein to reduce medication side effects.
Assess and report these neuropsychiatric symptoms to the healthcare provider promptly
The Correct Answer is D
A. Instruct the patient to discontinue the medication immediately to prevent further side effects: Abruptly stopping carbidopa/levodopa can worsen Parkinson’s symptoms and may cause withdrawal-like effects. Medication changes should always be guided by the healthcare provider.
B. Reassure the patient that mood changes are common and do not require further action: Hallucinations and impulsive behaviors are serious neuropsychiatric side effects of carbidopa/levodopa. Ignoring these symptoms can put the patient and others at risk; reassurance alone is insufficient.
C. Advise the patient to increase dietary protein to reduce medication side effects: While dietary protein can affect levodopa absorption, it does not prevent neuropsychiatric side effects such as hallucinations or impulsivity. Adjusting protein intake is not a primary intervention for these symptoms.
D. Assess and report these neuropsychiatric symptoms to the healthcare provider promptly: Hallucinations and impulsive behaviors may indicate adverse effects or toxicity from carbidopa/levodopa. Prompt assessment and communication with the healthcare provider allow for timely intervention, such as dose adjustment or alternative therapy, ensuring patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. I will not bother to check the expiration date of my acetaminophen medication before taking it:Taking expired medications can reduce effectiveness or increase the risk of adverse effects. Checking the expiration date is an important safety practice.
B. OTC medications are safe enough not to need a doctor's prescription so taking a little more than the bottle says can help with severe pain:Exceeding the recommended dose of acetaminophen can lead to hepatotoxicity and liver failure. Following dosing instructions is essential for safety.
C. I will mix my acetaminophen with alcohol to enhance its pain-relieving effects:Alcohol combined with acetaminophen greatly increases the risk of liver damage. These substances should never be taken together.
D. I will check the labels of my other over-the-counter medications to ensure I am not consuming multiple products containing acetaminophen:Many combination cold, flu, or pain medications contain acetaminophen. Checking labels prevents accidental overdose, supporting safe use and demonstrating appropriate patient understanding.
Correct Answer is A
Explanation
A. Discard the medication and obtain a new one from the pharmacy:Medications past their expiration date may have reduced potency or unknown chemical changes, making them unsafe or ineffective. The correct and safe practice is to discard expired medication and obtain a current supply.
B. Administer the medication if the client has taken it before without issues:Previous tolerance does not guarantee safety or effectiveness of an expired medication. Administration could result in subtherapeutic effects or adverse reactions.
C. Check with another nurse if it's okay to administer:While collaboration is important, the ultimate responsibility is patient safety. Expired medications should not be administered under any circumstances, regardless of peer approval.
D. Continue with administration and notify the healthcare provider later:Administering an expired medication compromises patient safety. The healthcare provider should be informed beforeadministration if an alternative is needed, not afterward.
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