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 B

Explanation

Choice A Reason:

Decreasing leg strength is a common symptom of Guillain-Barré syndrome (GBS) and indicates the progression of muscle weakness. While it is concerning and should be monitored, it is not as immediately critical as respiratory complications.

Choice B Reason:

Decreasing voice volume can indicate involvement of the cranial nerves and potential respiratory muscle weakness, which can lead to respiratory failure. This is an urgent finding that requires immediate attention to prevent respiratory complications.

Choice C Reason:

Decreased deep tendon reflexes are a hallmark of GBS and are expected in the progression of the disease. While they should be documented and monitored, they do not require immediate reporting unless accompanied by other critical symptoms.

Choice D Reason:

Decreased sensation in the arms is another common symptom of GBS due to peripheral nerve involvement. It should be monitored, but it is not as urgent as signs of respiratory compromise.

A. Lemonade B. Tomato soup C. Gelatin D. Black coffee

Correct Answer is C

Explanation

Choice A Reason

Lemonade is not suitable for a client with acute gastritis. Lemonade is acidic and can irritate the stomach lining, potentially worsening the symptoms of gastritis. It is important to avoid acidic foods and beverages to prevent further irritation.

Choice B Reason

Tomato soup is also not recommended for a client with acute gastritis. Tomatoes are acidic and can exacerbate gastritis symptoms. Foods that are low in acidity are better choices for individuals with this condition.

Choice C Reason

Gelatin is the correct choice. It is bland, non-acidic, and easy to digest, making it suitable for someone recovering from acute gastritis. Gelatin can help soothe the stomach lining without causing irritation.

Choice D Reason

Black coffee should be avoided by clients with acute gastritis. Coffee is acidic and can irritate the stomach lining, leading to increased discomfort and symptoms. Caffeine can also stimulate acid production, which is not ideal for someone with gastritis.

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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 assessing a client who has Guillain-Barré syndrome. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is B

Explanation

A nurse is caring for a client who has acute gastritis and is NPO. The client has a new prescription to resume oral intake. Which of the following items should the nurse offer the client?

Correct Answer is C

Explanation

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