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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The statement about the medication taking a few weeks to work fully is accurate and does not require follow-up.
Choice B reason: The statement that levothyroxine replaces the hormone the body used to produce is correct and reflects an understanding of the therapy.
Choice C reason: Acknowledging the possibility of lifelong medication is appropriate for levothyroxine therapy in the case of hypothyroidism.
Choice D reason: Levothyroxine should be taken on an empty stomach, typically 30 minutes to an hour before breakfast, to ensure proper absorption. This statement indicates a misunderstanding that requires nurse follow-up.
Correct Answer is B
Explanation
Choice A reason: Monitoring heart rate and rhythm is important in heart failure management, but it does not directly reflect the effectiveness of enalapril and furosemide, which are primarily used to control blood pressure and reduce fluid overload, respectively.
Choice B reason: Auscultating lung fields can reveal the presence of fluid, indicating pulmonary edema, a common complication of left-sided heart failure. Checking BP is essential as enalapril is an ACE inhibitor that lowers BP, and furosemide can also affect BP through its diuretic effect.
Choice C reason: Assessing for JVD can indicate right-sided heart failure, which may develop secondary to left-sided heart failure. However, it is not the primary assessment for the effectiveness of enalapril and furosemide.
Choice D reason: Checking peripheral pulses is a general assessment and, while important, it does not specifically evaluate the effectiveness of the medications in question.
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