The nurse is teaching a client with parkinsonism about carbidopa-levodopa. Which statement(s) by the client indicate(s) the need for further teaching? Select All That Apply
"This medication may make my movements smoother."
"My skin may turn yellow if I miss too many doses."
"I need to take vitamin B6 supplements medication with this medication."
“I should take this medicine on an empty stomach."
I need to check my blood sugar regularly while taking this
Correct Answer : B,C,D,E
A. "This medication may make my movements smoother."
This statement is correct. Carbidopa-levodopa is used to improve motor symptoms in parkinsonism, making movements smoother.
B. "My skin may turn yellow if I miss too many doses."
This statement is not accurate. Yellowing of the skin (jaundice) is not a known side effect of carbidopa-levodopa. This statement indicates a need for further clarification.
C. "I need to take vitamin B6 supplements with this medication."
This statement is incorrect. While vitamin B6 (pyridoxine) can reduce the effectiveness of levodopa, carbidopa is included in the formulation to prevent its peripheral conversion, allowing more levodopa to reach the brain. Vitamin B6 supplements are generally not recommended with carbidopa-levodopa.
D. "I should take this medicine on an empty stomach."
This statement is not accurate. Carbidopa-levodopa is typically taken with food to reduce gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea.
E. "I need to check my blood sugar regularly while taking this."
This statement is not directly related to carbidopa-levodopa. Monitoring blood sugar is essential for individuals with diabetes but is not a specific requirement related to this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
To calculate the infusion rate for gentamicin, the nurse needs to use the following formula:
infusion rate (mL/h) = volume (mL) x 60 / time (min).
Plugging in the given values, we get: infusion rate (mL/h) = 50 x 60 / 30 = 100.
Therefore, the nurse would program the electronic infusion pump at 100 mL/h.
Correct Answer is D
Explanation
A. Administer the dose since the patient is not toxic.
This is not the appropriate action. With a drowsy patient and a high serum phenytoin level, there is a concern for toxicity. Administering the next dose could worsen the toxicity.
B. Contact the provider to discuss decreasing the phenytoin dose.
While adjusting the dose may be a consideration, the immediate action should be to withhold the next dose and report the elevated level to the healthcare provider. The provider can then determine the appropriate course of action.
C. Give the drug and monitor closely for adverse effects.
Giving the drug without further intervention is not appropriate when there are signs of potential toxicity, such as drowsiness. Monitoring alone is not sufficient in this case.
D. Report drug toxicity to the providers.
This is the correct choice. With a drowsy patient and a serum phenytoin level of 18 mcg/mL, which is considered high, reporting the drug toxicity to the healthcare provider is the immediate and appropriate action. The provider can then determine the next steps, such as adjusting the dose or ordering additional tests.
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