A nurse is collecting data from a client who is taking levodopa-carbidopa to treat Parkinson's disease. Which of the following findings should the nurse document as an adverse effect of this medication?
Bradycardia
Hypotension
Constricted pupils
Urinary frequency
The Correct Answer is B
A. Bradycardia is not a common adverse effect of levodopa-carbidopa. Instead, it may sometimes cause tachycardia (increased heart rate) in some patients. Monitoring for cardiovascular changes is essential, but bradycardia is not typically associated with this medication.
B. Hypotension is a documented adverse effect of levodopa-carbidopa. This medication can cause orthostatic hypotension, which is a drop in blood pressure when standing up, leading to dizziness or fainting. This finding should be carefully monitored and documented, as it can increase the risk of falls.
C. Constricted pupils are not typically an adverse effect of levodopa-carbidopa. Instead, this medication may cause dilated pupils (mydriasis) as a result of its effects on the autonomic nervous system, particularly if the patient is taking other medications that can affect pupil size.
D. Urinary frequency can occur with levodopa-carbidopa; however, it is not commonly classified as a significant adverse effect. While changes in urinary habits can happen, they are more often related to Parkinson's disease itself rather than the medication specifically. Therefore, urinary frequency should be monitored but is not a primary concern compared to hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Understands that everyone dies eventually." Preschoolers typically do not have a comprehensive understanding of the concept of death and its universality. Their grasp of death is often more concrete, focusing on the specific situation rather than a general concept.
B. "Expresses curiosity about the funeral service." While some preschoolers may show curiosity about the funeral service, many might find the concept of a funeral confusing. Their understanding of death is often limited, and they may not ask questions about such abstract concepts.
C. "Believes the death is punishment for bad behavior." Preschoolers often have egocentric thinking and may associate events with their own actions, leading them to believe that a parent's death is a form of punishment for their behavior. This is a common response in this age group as they struggle to comprehend death and its causes.
D. "Recognizes the parent will never wake up." Preschoolers typically do not fully grasp the permanence of death. They may believe that the deceased parent will wake up or return, reflecting their limited understanding of the finality of death.
Correct Answer is B
Explanation
A. "Cola soft drink." A standard 240 mL (8 oz) serving of cola contains approximately 20 to 40 mg of caffeine. While this is lower than the caffeine content in coffee or tea, it is still higher than that of hot cocoa.
B. "Hot cocoa." Hot cocoa contains the least amount of caffeine, typically around 5 mg per 240 mL (8 oz). Cocoa naturally contains small amounts of caffeine, but it is significantly lower than in coffee, tea, or soda.
C. "Brewed green tea." A 240 mL (8 oz) serving of brewed green tea contains approximately 30 to 50 mg of caffeine. While green tea has less caffeine than coffee, it still has more than hot cocoa.
D. "Instant coffee." Instant coffee has one of the highest caffeine contents per 240 mL (8 oz), ranging from 60 to 80 mg. This makes it a less suitable choice for someone trying to reduce caffeine intake.
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