A patient who has Parkinson's will begin taking carbidopa-levodopa.
What information will the nurse include when teaching this patient about this medication?
Discontinue the drug if you experience insomnia.
Rise slowly from your bed or chair to avoid dizziness and falls.
Call your health care provider immediately if your urine turns a dark color.
Take the drug with foods high in protein to improve drug delivery.
The Correct Answer is B
Choice A rationale
Discontinuing carbidopa-levodopa abruptly can lead to withdrawal symptoms and a worsening of Parkinson's symptoms. Insomnia is a possible side effect but should be managed under medical supervision.
Choice B rationale
Carbidopa-levodopa can cause orthostatic hypotension, leading to dizziness and an increased risk of falls. Patients should be advised to rise slowly from a sitting or lying position to prevent these effects.
Choice C rationale
Dark urine can be a harmless side effect of carbidopa-levodopa due to the excretion of metabolites. It is not usually a cause for concern unless accompanied by other symptoms.
Choice D rationale
High-protein foods can interfere with the absorption of carbidopa-levodopa, reducing its effectiveness. It is recommended to take the medication on an empty stomach or with low-protein foods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Poor self-care is not directly associated with reddened, bleeding gums in this context.
Choice B rationale
While aspirin can cause bleeding issues, the context here is related to seizure disorder and phenytoin.
Choice C rationale
Phenytoin, an anticonvulsant used to manage seizures, can cause gingival hyperplasia, leading to reddened and bleeding gums.
Choice D rationale
Hepatotoxicity is related to liver damage and does not present with reddened, bleeding gums.
Correct Answer is B
Explanation
Choice A rationale
While "Drug Facts and Comparisons" is a comprehensive source, it is primarily used by pharmacists rather than nurses. Nurses might find it less practical for their day-to-day needs as it is detailed and more suited to in-depth drug comparisons.
Choice B rationale
A nurse drug guide is designed specifically for nurses and includes practical information for administering medications, understanding side effects, and nursing considerations. It’s tailored to the needs of nursing practice.
Choice C rationale
A drug package insert provides detailed information about a specific drug, including indications, dosage, and side effects. However, it lacks the breadth of information about multiple drugs and nursing considerations compared to a nurse drug guide.
Choice D rationale
The Physician’s Drug Reference (PDR) is an excellent resource but is more suited for physicians. It provides detailed drug information but may not focus on nursing-specific considerations and practical administration advice.
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