The nurse prepares to administer benztropine to the patient with Parkinson's Disease. The nurse holds the dose and notifies the physician based on which assessment finding?
A respiratory rate of 14
A pulse of 102
Blood pressure of 88/60 mmHg
A temperature of 100.2°F
The Correct Answer is C
A. A respiratory rate of 14
A respiratory rate of 14 is within the normal range and is not typically a reason to hold benztropine. Respiratory depression is not a common side effect of this medication.
B. A pulse of 102
A pulse rate of 102 is also within the normal range, and changes in heart rate are generally not a prominent side effect of benztropine. This finding alone is not a typical reason to hold the medication.
C. Blood pressure of 88/60 mmHg
This is the correct choice. Anticholinergic medications, like benztropine, can cause side effects such as a decrease in blood pressure. A blood pressure of 88/60 mmHg may be a concern, and the nurse should hold the dose and notify the physician.
D. A temperature of 100.2°F
An elevated temperature of 100.2°F is not a direct contraindication to benztropine administration. Fever is not a typical side effect of this medication, so an increased temperature alone is not a reason to hold the dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
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.
Correct Answer is A
Explanation
A. The importance of consuming adequate amounts of water
When instructing a patient who will take psyllium (Metamucil) to treat constipation, it is crucial to emphasize the importance of consuming adequate amounts of water. Psyllium is a bulk-forming laxative that works by absorbing water in the intestines, forming a gel-like mass that helps soften stools and promote bowel movements. Without sufficient water intake, psyllium may cause an obstruction or worsen constipation.
B. The need to monitor for systemic side effects.
Psyllium is generally well-tolerated and is not associated with significant systemic side effects. The primary consideration is ensuring proper hydration.
C. The onset of action of 30-60 minutes after administration.
Psyllium is not a fast-acting laxative. It usually takes a longer time to produce its effects, and patients should not expect an immediate response within 30-60 minutes.
D. The need to use the dry form of psyllium to prevent cramping.
Using the dry form of psyllium is not recommended, as it may increase the risk of choking or swallowing difficulties. It is typically recommended to mix psyllium with a sufficient amount of water or other liquids to prevent cramping and ensure proper absorption.
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