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
Unstable angina is characterized by sudden, severe chest pain that occurs at rest or with minimal exertion and is not relieved by nitroglycerin. It represents an imminent risk of myocardial infarction.
Choice B rationale
Ischemic heart disease can cause various types of angina, including stable, unstable, and Prinzmetal’s angina. The term “ischemic” refers to a lack of blood flow to the heart muscle, but this choice is too broad.
Choice C rationale
Stable angina occurs when there is an imbalance between myocardial oxygen supply and demand, typically during physical exertion or emotional stress. It is characterized by predictable chest pain that is relieved by rest or nitroglycerin.
Choice D rationale
Prinzmetal’s angina, also known as variant angina, is caused by a spasm in the coronary arteries, which leads to a temporary reduction in blood flow. It can occur at rest and is not necessarily related to the imbalance of myocardial supply and demand.
Correct Answer is B
Explanation
Choice A rationale
While tinnitus can occur with certain medications, it is not a common adverse effect of lidocaine.
Choice B rationale
Dizziness is a common adverse effect of lidocaine and can indicate an issue with its administration.
Choice C rationale
Dysphagia is not a typical adverse effect of lidocaine administration.
Choice D rationale
Excessive bruising is not associated with lidocaine but rather with anticoagulants or trauma.
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