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.

Answer and Explanation

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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Correct Answer is D

Explanation

The correct answer is d. Urine output 60 mL.

Choice A reason: A pulse oximetry reading of 96% is within normal limits and does not indicate an ineffective response to the medications.

Choice B reason: A heart rate of 77, regular, is also within normal limits and does not suggest an ineffective response.

Choice C reason: Trace bilateral ankle edema may persist even after effective treatment due to residual effects of heart failure.

Choice D reason: A urine output of 60 mL over 2 hours post-diuretic administration suggests an inadequate response, as furosemide is expected to produce a significant diuresis to reduce fluid overload in acute heart failure.

A. Vasodilation and fluid shift out of the vascular space B. Platelet aggregation and thrombus formation C. Decreased blood glucose and oliguria D. Hypoxemia and anaerobic metabolism

Correct Answer is A

Explanation

Choice A reason: In sepsis, inflammatory mediators cause vasodilation and increased capillary permeability, leading to fluid leaking out of the vascular space, resulting in hypotension.

Choice B reason: Platelet aggregation and thrombus formation can occur in sepsis but are more related to disseminated intravascular coagulation (DIC) rather than directly causing hypotension.

Choice C reason: Decreased blood glucose and oliguria can be consequences of sepsis but are not the primary pathophysiological processes responsible for hypotension.

Choice D reason: Hypoxemia and anaerobic metabolism may result from the effects of sepsis on the body, including hypotension, but they are not the direct cause of hypotension.

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Prior to administering levodopa/carbidopa to a client with Parkinson's disease, which action would the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse recognizes that a patient with sepsis is at risk to develop hypotension. Which pathophysiological process is responsible for this symptom?

Correct Answer is A

Explanation

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