A nurse is providing discharge teaching to a client who is starting to take carbidopa/levodopa to treat Parkinson’s disease. Which of the following instructions should the nurse include in the teaching?

This medication can cause your urine to turn a dark color.

Expect immediate relief after taking this medication.

Take the medication with a high-protein food.

Skip a dose of the medication if you experience dizziness.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Carbidopa/levodopa can cause the urine to turn a dark color, such as red, brown, or black. This is a harmless side effect but can be alarming to patients if they are not forewarned. Informing patients about this potential change helps to prevent unnecessary concern.

Choice B Reason:

Expecting immediate relief after taking carbidopa/levodopa is not accurate. While some patients may experience symptom relief relatively quickly, it often takes several weeks for the full therapeutic effects to be realized. Patients should be advised to continue taking the medication as prescribed and to communicate with their healthcare provider about their progress.

Choice C Reason:

Taking carbidopa/levodopa with high-protein food is not recommended. High-protein foods can interfere with the absorption of the medication, reducing its effectiveness. It is generally advised to take the medication on an empty stomach or with a low-protein snack.

Choice D Reason:

Skipping a dose of the medication if experiencing dizziness is not advisable. Dizziness can be a side effect of carbidopa/levodopa, but it should be managed by adjusting the dose or timing of the medication rather than skipping doses. Patients should discuss any side effects with their healthcare provider to find the best management strategy.

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Correct Answer is D

Explanation

Choice A Reason

“It is okay to not want to touch the burned areas of your body.” This statement is empathetic and acknowledges the client’s feelings, but it does not provide a constructive way to address their concerns about altered appearance. While it is important to validate the client’s feelings, offering a solution or support mechanism is more beneficial.

Choice B Reason

“Cosmetic surgery should be performed within the next year to be effective.” This statement is misleading. While timely intervention can be important, the timing of reconstructive or cosmetic surgery depends on various factors, including the extent of the burns, the healing process, and the patient’s overall health. It is not accurate to generalize that surgery must be performed within a year.

Choice C Reason

“Reconstructive surgery can completely restore your previous appearance.” This statement is incorrect and can give false hope. Reconstructive surgery aims to improve function and appearance, but it cannot completely restore the previous appearance. Managing expectations is crucial in the recovery process.

Choice D Reason

“It could be helpful for you to attend a support group for people who have burn injuries.” This statement is correct. Support groups provide emotional and psychological support, helping burn survivors cope with changes in appearance and other challenges. They offer a sense of community and shared experiences, which can be very beneficial for recovery.

A. Red B. Yellow C. Green D. Black

Correct Answer is A

Explanation

Choice A Reason:

A red tag is used to label those who cannot survive without immediate treatment but who have a chance of survival. The child’s respiratory rate of 8/min, unresponsiveness to verbal commands, and groaning to painful stimuli indicate severe injuries that require urgent medical attention. Immediate intervention is necessary to address potential life-threatening conditions.

Choice B Reason:

A yellow tag is assigned to those who require observation and possible later re-triage. Their condition is stable for the moment, and they are not in immediate danger of death. Given the child’s critical condition, a yellow tag would not be appropriate as it suggests the child can wait for treatment, which is not the case here.

Choice C Reason:

A green tag is for the “walking wounded” who will need medical care at some point after more critical injuries have been treated. This tag is not suitable for the child in question, as their condition is far from minor and requires immediate attention.

Choice D Reason:

A black tag is used for the deceased or those whose injuries are so severe that they are not expected to survive despite receiving care. While the child’s condition is critical, they still have a chance of survival with immediate treatment, making a black tag inappropriate.

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A nurse is providing discharge teaching to a client who is starting to take carbidopa/levodopa to treat Parkinson’s disease. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A triage nurse finds a school-age child lying in the road following a school bus crash with multiple casualties. The child has a respiratory rate of 8/min, is unresponsive to verbal commands, and groans to painful stimuli. The nurse should assign the client which of the following triage tags?

Correct Answer is A

Explanation

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