An older patient exhibits a shuffling gait, lack of facial expression, and tremors at rest. The nurse will expect the provider to order which medication for this patient?
Carbidopa-levodopa
Donepezil
Rivastigmine
Tacrine
The Correct Answer is A
A. Carbidopa-levodopa
The symptoms described, including a shuffling gait, lack of facial expression, and tremors at rest, are characteristic of Parkinson's disease. Carbidopa-levodopa is a common medication used in the management of Parkinson's disease.
B. Donepezil
Donepezil is used in the treatment of Alzheimer's disease, a condition characterized by cognitive decline and memory impairment. It is not indicated for Parkinson's disease.
C. Rivastigmine
Rivastigmine is another medication used in the treatment of Alzheimer's disease, and it is also used in Parkinson's disease dementia. However, it is not the primary medication for the motor symptoms of Parkinson's disease.
D. Tacrine
Tacrine was once used in the treatment of Alzheimer's disease, but it is no longer commonly prescribed due to safety concerns and the availability of newer, safer medications. It is not indicated for Parkinson's disease.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The patient's understanding of the medication:
While it's important for the patient to understand their medication, assessing their understanding is typically done through patient education and counseling. This assessment is vital for promoting adherence and safe medication practices but is not the primary consideration immediately before administration.
B. The patient's ability to swallow:
This is the correct answer. Assessing the patient's ability to swallow is crucial before administering oral medications to ensure that the patient can safely and effectively take the prescribed medication without the risk of aspiration or choking.
C. The patient's allergies:
Assessing the patient's allergies is an essential step in medication administration, but it is generally part of the overall medication safety process. It may not be the primary assessment immediately before administering an oral medication, but it is a crucial consideration.
D. The eyesight:
The patient's eyesight is not typically a primary assessment before administering oral medications. While visual impairments can affect a patient's ability to read medication labels or instructions, it is not the immediate concern when assessing readiness for oral medication administration.
Correct Answer is A
Explanation
A. Misoprostol (Cytotec)
The patient complaining of gastric distress from NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) like aspirin or indomethacin may benefit from the administration of misoprostol (Cytotec). Misoprostol is a prostaglandin analog that helps protect the stomach lining and reduce the risk of NSAID-induced gastric ulcers.
B. Lansoprazole (Prevacid)
Lansoprazole is a proton pump inhibitor (PPI) that reduces stomach acid production. While PPIs can be used for certain acid-related conditions, they do not directly protect against NSAID-induced gastric distress.
C. Magaldrate (Riopan)
Magaldrate is an antacid that neutralizes stomach acid. It may provide relief from symptoms of indigestion but does not specifically address the gastric distress caused by NSAIDs.
D. Magnesium trisilicate (Gaviscon)
Magnesium trisilicate is an antacid that helps neutralize stomach acid. Like magaldrate, it may alleviate symptoms of indigestion but does not target the underlying issue of NSAID-induced gastric distress.
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