The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Dyskinesias

Dyspnea

Hypertension

Cold intolerance

Answer and Explanation

The Correct Answer is A

Choice A reason: Dyskinesias, which are involuntary, erratic, writhing movements of the face, arms, legs, or trunk, are common side effects of long-term use of levodopa and carbidopa, especially after many years of therapy.

Choice B reason: Dyspnea, or difficulty breathing, is not commonly associated as a side effect of levodopa and carbidopa.

Choice C reason: Hypertension is not typically a side effect of levodopa and carbidopa; these medications can sometimes cause low blood pressure, particularly upon standing.

Choice D reason: Cold intolerance is not a recognized side effect of levodopa and carbidopa.

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Correct Answer is A

Explanation

Choice A reason: Neutropenia, a decrease in neutrophils, is a known side effect of propylthiouracil (PTU) due to its impact on bone marrow and white blood cell production.

Choice B reason: Hyperglycemia is not a typical side effect of PTU; it is more commonly associated with medications affecting blood sugar levels.

Choice C reason: Polyuria, or excessive urination, is not a common side effect of PTU and is more often related to conditions affecting kidney function or blood glucose levels.

Choice D reason: Muscle cramps are not a direct side effect of PTU; they can be associated with various conditions, including electrolyte imbalances.

A. Pulse oximetry 96%. B. Heart rate of 77, regular. C. Trace bilateral ankle edema. D. Urine output 60 mL.

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.

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The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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

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

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Assessment of a client with cirrhosis reveals a distended abdomen, weight gain, and dyspnea. Based on this information, what interventions would the nurse include in this client's plan of care?

The nurse caring for a client with thyroid disease notes a current T4 level of 2.9 mcg/dL (normal range: 5-11.5 mcg/dL). Which findings are consistent with this result?