The nurse is teaching a patient who has Parkinson's disease about the side effects of carbidopa-levodopa. Which statement by the patient indicates a need for further teaching?
"I may experience urinary retention, dry mouth, and constipation."
"I may feel dizzy at first, but this side effect will go away with time."
"I should report nightmares and mental disturbances to my provider."
"I should take the drug with food to increase absorption."
The Correct Answer is D
A. "I may experience urinary retention, dry mouth, and constipation."
This statement is accurate. Urinary retention, dry mouth, and constipation are common side effects of carbidopa-levodopa. The patient should be aware of these potential side effects and report them to the healthcare provider if they become problematic.
B. "I may feel dizzy at first, but this side effect will go away with time."
This statement is accurate. Dizziness is a common initial side effect of carbidopa-levodopa, and it often improves with continued use. The patient should be encouraged to report persistent dizziness to the healthcare provider.
C. "I should report nightmares and mental disturbances to my provider."
This statement is accurate. Nightmares and mental disturbances can be side effects of carbidopa-levodopa. The patient should report these symptoms to the healthcare provider for further evaluation and potential adjustments to the medication.
D. "I should take the drug with food to increase absorption."
This statement indicates a need for further teaching. Carbidopa-levodopa is best absorbed when taken on an empty stomach. Taking it with food, especially high-protein meals, can reduce its absorption. The patient should be instructed to take the medication at least 30 minutes before meals or one to two hours after meals for optimal effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
`To calculate the rate of infusion in mL/h, you need to divide the total volume of fluid by the total time of infusion.
In this case, you have 1,000 mL of normal saline (NS) to infuse in eight hours.
Therefore, the rate of infusion is 1,000 mL / 8 h = 125 mL/h.
Correct Answer is ["B","C","D","E"]
Explanation
A. Dietary restriction while taking hydrocodone
There are no specific dietary restrictions associated with hydrocodone use. This option is not relevant to hydrocodone therapy.
B. Instructions not to exceed recommended dosage
It is crucial to emphasize to the patient not to exceed the recommended dosage of hydrocodone. Exceeding the prescribed dose can lead to adverse effects, including respiratory depression.
C. Instructions not to use alcohol or CNS depressants while taking hydrocodone
Hydrocodone is a central nervous system (CNS) depressant. Combining it with alcohol or other CNS depressants can increase the risk of respiratory depression and sedation. Patients should be advised to avoid alcohol and other drugs that depress the CNS.
D. Instructions on how to prevent constipation
Opioid medications, including hydrocodone, can cause constipation. Patients should receive instructions on how to prevent constipation, such as increasing fluid and fiber intake and incorporating regular physical activity.
E. Side effects to report
Patients should be educated about potential side effects of hydrocodone and instructed to report any unusual or severe side effects to their healthcare provider promptly. This may include symptoms such as respiratory distress, severe drowsiness, or allergic reactions.
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