A nurse is providing discharge teaching to a patient who will be taking levodopa/carbidopa for Parkinson's Disease (PD). Which of the following statements by the patient indicates a need for further teaching?
"I will report any unusual movements or behaviors to my healthcare provider."
"I will take this medication with a high-protein meal for better absorption."
"I may experience nausea and vomiting while taking this medication."
"I will avoid sudden changes in position to prevent dizziness or falls."
The Correct Answer is B
A. Levodopa/carbidopa can cause side effects like dyskinesia (unusual movements) or behavioral changes, and these should be reported to the healthcare provider.
B. Taking levodopa/carbidopa with a high-protein meal can interfere with absorption. Protein can compete with the drug for absorption in the gastrointestinal tract, reducing the effectiveness of the medication. It's recommended to take it on an empty stomach or with a low-protein meal to improve absorption.
C. Nausea and vomiting are common side effects when starting levodopa/carbidopa, and it's often managed by taking the medication with food or adjusting the dosage.
D. Levodopa/carbidopa can cause orthostatic hypotension, leading to dizziness or falls. To prevent this, it's important to avoid sudden changes in position and rise slowly from sitting or lying down.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Have you tried videos or flash cards? People learn in different ways.: While videos or flashcards might be helpful tools for some, this response doesn't address the primary concern, which is consistency in the approach for memory recall. Reinforcing one method consistently is crucial for individuals with traumatic brain injuries (TBI) to help improve memory retention.
B. It is important to reinforce one consistent method due to the injury.: This is the best response. Individuals with brain injuries, especially those affecting memory, benefit from consistent, structured methods of learning and remembering. Changing the approach frequently can confuse the patient and hinder their progress. Reinforcing one method consistently will provide the brain with a routine to help it form connections and improve memory.
C. Does he have a favorite type of music? Background music helps with memory.: While music can sometimes be used in memory therapies, the suggestion of using music as background for memory enhancement is not a reliable or consistent approach. It doesn't address the need for a structured, consistent method that would be most beneficial in this case.
D. Maybe he is depressed due to the injury, Depression alters concentration.: While depression can affect cognitive functions such as concentration and memory, there is no direct indication in the partner’s statement that depression is the primary concern here. Focusing on consistent memory strategies is more appropriate as a first step.
Correct Answer is A
Explanation
A. The pH is normal but leaning toward alkalosis (7.44).
The PaCO₂ is low (30 mmHg), indicating respiratory alkalosis.
The HCO₃⁻ is also low (18 mEq/L), showing metabolic compensation.
Since pH is within normal limits and both respiratory and metabolic components are abnormal, full compensation has occurred.
B. This is incorrect
C. This is incorrect
D. This is incorrect
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