The nurse is planning care for a patient diagnosed with Parkinson's disease who has been prescribed selegiline. What education specific to this medication should the nurse include in the plan of care?
Report signs of blood in the urine
Avoid aged cheese and wine
Contact the provider if hallucinations occur
Report blurred vision immediately
The Correct Answer is B
A. Report signs of blood in the urine: Selegiline is a monoamine oxidase-B (MAO-B) inhibitor and does not typically cause hematuria. Monitoring for blood in urine is not a standard precaution for this medication.
B. Avoid aged cheese and wine: Selegiline can interact with tyramine-containing foods, such as aged cheeses, cured meats, and red wine, potentially leading to hypertensive crises. Educating the patient about dietary restrictions is essential for safety while taking this medication.
C. Contact the provider if hallucinations occur: While hallucinations may occur with Parkinson’s medications, this is not specific to selegiline. Monitoring for neuropsychiatric side effects is important but not the primary education point for MAO-B inhibitors.
D. Report blurred vision immediately: Blurred vision is not a common adverse effect of selegiline. Vision changes are more commonly associated with anticholinergic or other Parkinson’s medications rather than MAO-B inhibitors.
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Related Questions
Correct Answer is C
Explanation
A. Uricosuric: Uricosuric agents, such as probenecid, increase uric acid excretion and are used for long-term management of hyperuricemia, not for acute gout attacks. They do not provide immediate pain relief during flare-ups.
B. Febuxostat: Febuxostat is a xanthine oxidase inhibitor used to lower uric acid levels over time. It is indicated for chronic gout management but is not used to treat acute flares.
C. Colchicine: Colchicine is effective for acute gout attacks because it reduces inflammation and pain by inhibiting neutrophil activity in affected joints. It provides rapid symptom relief during flare-ups.
D. Allopurinol: Allopurinol is a xanthine oxidase inhibitor that prevents uric acid formation and is used for long-term gout management. It does not treat the inflammation or pain of an acute attack.
Correct Answer is D
Explanation
A. Risk for impaired skin integrity related to immobility: While immobility can eventually lead to skin breakdown, it is a potential problem rather than an immediate concern. It does not take priority over acute pain.
B. Knowledge deficit related to dietary restrictions: Knowledge deficits are important for long-term management, but they do not address the client’s immediate physiological needs during an acute gout flare. Education can be provided after stabilization.
C. Impaired physical mobility related to pain: Mobility is affected by pain, making it significant. However, addressing the underlying pain first is necessary to enable participation in mobility interventions.
D. Acute pain related to inflammation of joints: Acute pain is the priority problem because it directly affects the client’s comfort, mobility, and ability to participate in care. Managing pain first allows for safer and more effective interventions for other diagnoses.
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