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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hyperglycemia is not typically a nonmotor symptom of Parkinson's disease. It is more commonly associated with metabolic conditions such as diabetes.
Choice B reason: Hypertension is not a nonmotor symptom specific to Parkinson's disease, although it can be present in many other conditions.
Choice C reason: Diarrhea is not commonly a nonmotor symptom of Parkinson's disease. Gastrointestinal symptoms like constipation are more prevalent.
Choice D reason: Depression is a recognized nonmotor symptom of Parkinson's disease. It can significantly affect the quality of life and is often underdiagnosed in these patients.
Correct Answer is ["A","D"]
Explanation
Choice A reason: Resting tremor is a classic symptom of Parkinson's disease and is one of the primary diagnostic criteria.
Choice B reason : Limited range of motion is not specific to Parkinson's disease and can be caused by various conditions.
Choice C reason : Hypertension is not a diagnostic criterion for Parkinson's disease.
Choice D reason : Difficulty rising to stand is associated with the bradykinesia seen in Parkinson's disease, making it a relevant symptom for diagnosis.
Choice E reason : Diarrhea is not typically associated with Parkinson's disease and is not a diagnostic criterion.
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