Prior to administering levodopa/carbidopa to a client with Parkinson's disease, which action would the nurse take?
Review current WBC level.
Check blood pressure.
Assess for bleeding.
Provide a high-protein snack.
The Correct Answer is B
Choice A reason: While it's important to monitor WBC levels for overall health, it is not specifically related to the administration of levodopa/carbidopa for Parkinson's disease.
Choice B reason: Blood pressure should be checked before administering levodopa/carbidopa as these medications can affect blood pressure, potentially causing hypotension.
Choice C reason: Assessing for bleeding is a general nursing action but not specifically related to levodopa/carbidopa administration.
Choice D reason: Providing a high-protein snack can actually interfere with the absorption of levodopa and should be avoided at the time of medication administration.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Learning sign language can be beneficial but may not be practical or immediately helpful for the client and spouse dealing with communication issues due to PD.
Choice B reason: Exaggerating the pronunciation of words may help some clients with PD, but it can also be tiring and not effective for all, especially if the client has significant speech difficulties.
Choice C reason: Speaking in a louder tone of voice does not necessarily improve communication with a person who has PD, as the issue often lies with the client's ability to speak, not with hearing.
Choice D reason: Writing can be an effective way for clients with PD to communicate, especially if they have difficulty speaking or being understood. It allows for clear communication without the need for verbal articulation.
Correct Answer is B
Explanation
Choice A reason: A soft diet with thin liquids may be recommended for patients with Parkinson's disease who have difficulty swallowing (dysphagia), but it is not the most appropriate intervention for all patients. Dysphagia is common in Parkinson's disease due to impaired muscle movement, and a soft diet can help prevent choking and aspiration.
Choice B reason: Assessing for orthostatic hypotension is crucial in the care of patients with Parkinson's disease. Orthostatic hypotension is a common non-motor symptom where there is a significant drop in blood pressure upon standing. Normal blood pressure should not drop more than 20 mm Hg systolic or 10 mm Hg diastolic within 2 to 5 minutes of standing². This condition can increase the risk of falls, which is a significant concern in this population.
Choice C reason: Exophthalmos, the bulging of the eyes, is not associated with Parkinson's disease. It is typically related to thyroid eye disease, such as Graves' disease, and would not be a relevant assessment for a Parkinson's patient unless there is a known co-existing thyroid condition.
Choice D reason: Limiting fluids to prevent urinary incontinence is not an appropriate intervention for Parkinson's disease. Adequate hydration is essential, and urinary incontinence should be managed with other strategies, such as bladder training, scheduled toileting, and possibly medication, depending on the cause.
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