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

Choice A reason: A temperature of 99.6°F is a mild fever and not specifically indicative of the late phase of septic shock.

Choice B reason: Skin that is flushed with a capillary refill of less than 3 seconds does not suggest the late phase of septic shock, which would typically present with poor perfusion.

Choice C reason: A renal output of 45 mL/hr is within the normal range (0.5-1 mL/kg/hr for adults) and does not necessarily indicate the late phase of septic shock.

Choice D reason: Arrhythmias can be a sign of the late phase of septic shock as they indicate cardiac dysfunction, which is a result of decreased tissue perfusion and can lead to multiple organ failure.

A. Administer propylthiouracil (PTU). B. Provide an electric blanket. C. Restrict fluids. D. Monitor for hypotension.

Correct Answer is A

Explanation

Choice A reason: Propylthiouracil (PTU) is an antithyroid medication used to treat hyperthyroidism, which can present with symptoms such as weight loss and heat intolerance. The symptoms listed (periorbital edema, cold intolerance, and weight gain) suggest hypothyroidism, for which PTU is not indicated.

Choice B reason: Providing an electric blanket may offer comfort for cold intolerance but does not address the underlying thyroid disorder.

Choice C reason: Restricting fluids is not a standard intervention for thyroid disorders and could potentially lead to dehydration.

Choice D reason: Monitoring for hypotension is important in thyroid disorders, especially if the client is on antithyroid medications, which can affect blood pressure. However, the symptoms presented suggest hypothyroidism, where hypotension is less of a concern compared to hyperthyroidism.

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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

When assessing a client with sepsis, which finding would be consistent with the late phase of septic shock?

Correct Answer is D

Explanation

The nurse is admitting a client with a thyroid disorder who presents with periorbital edema, cold intolerance, and weight gain. Which intervention should the nurse include in this client's plan of care?

Correct Answer is A

Explanation

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

The nurse is caring for a client with sepsis. Which intervention would the nurse include to monitor for decreased tissue perfusion?

Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.

The nurse practitioner is assessing clients for their risk of developing hypothyroidism. Which of these clients would the nurse consider at greatest risk?

The nurse is caring for a client with chronic pancreatitis. Which intervention is appropriate for this diagnosis?

A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

The nurse is reviewing data of a client receiving propylthiouracil (PTU). Which information indicates to the nurse that the client may be experiencing a side effect of this medication?