The nurse is planning discharge teaching for a client with Parkinson's disease. What information regarding levodopa/carbidopa therapy should the nurse include in this session?
Do not take with food.
May cause insomnia.
Check for signs of infection.
Take at the same time each day.
The Correct Answer is D
Choice A reason: Levodopa/carbidopa therapy is often recommended to be taken with food to prevent nausea, which is a common side effect. Therefore, advising not to take it with food is incorrect.
Choice B reason: While levodopa/carbidopa can cause insomnia, it is not the most critical piece of information for discharge teaching. Managing insomnia can be part of ongoing treatment discussions.
Choice C reason: Checking for signs of infection is a general safety measure but is not specific to levodopa/carbidopa therapy. It is important for all medications and health conditions.
Choice D reason: It is crucial to take levodopa/carbidopa at the same time each day to maintain steady levels of the medication in the body, which helps to control the symptoms of Parkinson's disease effectively. Consistency in medication timing is key to managing the disease's symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Evaluating pupil reactions every shift is important for neurological assessment but is not directly related to monitoring tissue perfusion.
Choice B reason: Assessing temperature every 4 hours is a standard monitoring procedure for sepsis but does not specifically address tissue perfusion.
Choice C reason: Monitoring for cyanosis is a direct method to assess tissue perfusion. Cyanosis, a bluish discoloration of the skin, indicates poor oxygenation and is a sign of decreased tissue perfusion.
Choice D reason: Checking reflexes is part of a neurological assessment and, while important, it does not directly monitor tissue perfusion.
Correct Answer is B
Explanation
Choice A reason: Prolonged vomiting typically leads to metabolic alkalosis due to the loss of gastric acid, which is not consistent with the ABG results showing acidosis.
Choice B reason: COPD can lead to respiratory acidosis, as indicated by the elevated PaCO2 and low pH in the ABG results, making it a likely contributor to these findings.
Choice C reason: Chronic renal failure can lead to metabolic acidosis, but the HCO3 level is within the normal range, which does not support this as the primary condition.
Choice D reason: Anxiety and hyperventilation usually result in respiratory alkalosis due to the excessive exhalation of CO2, which is the opposite of what the ABG results show.
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