A nurse is providing teaching to a patient newly diagnosed with Parkinson's Disease (PD) who is prescribed carbidopa/levodopa. What should be included in teaching?

Change position slowly to prevent orthostatic hypotension.

Decrease the dose as muscle tremors subside.

This is a safe medication associated with minimal side effects.

Double the dose the next scheduled time if a dose is missed.

Answer and Explanation

The Correct Answer is A

A. Change position slowly to prevent orthostatic hypotension.: One of the common side effects of carbidopa/levodopa is orthostatic hypotension, which is a drop in blood pressure when standing up from a sitting or lying position. Patients should be taught to change positions slowly to help prevent dizziness or fainting.

B. Decrease the dose as muscle tremors subside.: The dose of carbidopa/levodopa should not be reduced without a physician's guidance, even if symptoms such as muscle tremors subside. This medication is used to help manage symptoms of Parkinson's disease, and any changes in dosage should be made under the supervision of a healthcare provider.

C. This is a safe medication associated with minimal side effects.: Carbidopa/levodopa is a commonly used medication for Parkinson's disease, but it is associated with several potential side effects, such as nausea, dizziness, dyskinesia (involuntary movements), and orthostatic hypotension. It is important to discuss these potential side effects with the patient.

D. Double the dose the next scheduled time if a dose is missed.: If a dose of carbidopa/levodopa is missed, the patient should not double the next dose. They should follow the instructions provided by their healthcare provider or pharmacist, typically taking the missed dose as soon as they remember, unless it is almost time for the next dose.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. removes the client's blood and returns high-dose corticosteroids to the patient: Plasmapheresis involves the removal of plasma from the blood, but it does not involve returning high-dose corticosteroids. It removes harmful substances (such as autoantibodies) from the plasma that contribute to disease symptoms, but it does not involve corticosteroid therapy directly.

B. removes the autoantibodies responsible for Myasthenia Gravis: In Myasthenia Gravis (MG), autoantibodies attack the acetylcholine receptors at the neuromuscular junction, leading to muscle weakness. Plasmapheresis is used to remove these autoantibodies from the bloodstream, helping to temporarily improve symptoms by reducing the immune system’s attack on the body’s own tissues.

C. treats the thymus gland dysfunction responsible for Myasthenia Gravis: Plasmapheresis does not directly treat the thymus gland. In some cases, thymectomy (removal of the thymus gland) may be indicated for MG, but plasmapheresis specifically addresses the immune response, not the thymus.

D. assists in the immune suppression along with corticosteroids: While plasmapheresis can temporarily reduce the autoimmune response, it does not function as a form of immune suppression like corticosteroids. Corticosteroids are immunosuppressive medications, but plasmapheresis itself is a physical process that removes harmful autoantibodies from the blood

A. 7.47 pC02 30 PHCO3 24 p02 98 B. pH 7.31 p C02 52 pH PHCO3 30 p02 85 C. pH 7.29 p C02 57 pHCO3 25 p02 78 D. pH 7.37 p C02 61 pHCO3 33 p 02 71

Correct Answer is B

Explanation

A. pH 7.47, pCO2 30, HCO3 24, pO2 98

pH is alkaline (7.47), and the pCO2 is low (30), indicating respiratory alkalosis, not acidosis. This is not the correct answer.

B. pH 7.31, pCO2 52, HCO3 30, pO2 85

pH is low (7.31), indicating acidosis.

pCO2 is elevated (52), indicating respiratory acidosis.

HCO3 is elevated (30), indicating that the kidneys are attempting to compensate by retaining bicarbonate.

This fits the criteria for respiratory acidosis with partial compensation.

C. pH 7.29, pCO2 57, HCO3 25, pO2 78

pH is low (7.29), indicating acidosis.

pCO2 is elevated (57), suggesting respiratory acidosis.

HCO3 is normal (25), so there is no compensation yet.

This indicates uncompensated respiratory acidosis, not partial compensation.

D. pH 7.37, pCO2 61, HCO3 33, pO2 71

pH is normal (7.37), which does not indicate acidosis.

pCO2 is elevated (61), indicating respiratory acidosis.

HCO3 is elevated (33), indicating that the kidneys are compensating.

However, since the pH is normal, this likely indicates full compensation rather than partial compensation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing teaching to a patient newly diagnosed with Parkinson's Disease (PD) who is prescribed carbidopa/levodopa. What should be included in teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient diagnosed with Myasthenia Gravis (MG) prescribed plasmapheresis for treatment. Which statement by the nurse includes accurate education? "Plasmapheresis....

Correct Answer is B

Explanation

Correct Answer is B

Explanation

The nurse understands myocardial oxygen consumption increases as which of the following parameters increase? Preload, afterload and....

Which of the following assessment findings in a client who is receiving atenolol for angina would be a cause for the nurse to hold the medication and contact the provider?

The nurse knows which of the following types of angina is most closely related with an impending myocardial infarction (MI)?

The nurse is caring for a patient that has had an acute myocardial infarction. What goals should the nurse use to guide this patient's care? (SELECT ALL THAT APPLY).

A client had a traumatic brain injury from a bicycle accident 3 months ago. The client's partner states "Every few days I use a different approach to help them remember things but nothing seems to stick. The nurse's best reply is:

The client tells the nurse, "My physician told me that I had an NSTEMI. I thought all heart attacks were the same. Can you explain this to me?" What would be the nurse's best response?

A client presents to the emergency department with complaints of severe chest pain. Which actions should the nurse implement first?

During acute respiratory distress syndrome (ARDS), the client's lung cells that produce surfactant have become damaged. The nurse knows this pathologic change will lead to what outcome?