The Practical Nurse (PN) is preparing to administer carbidopa-levodopa to a patient with Parkinson’s disease. Which patient finding requires further assessment before administering the medication?

Pill-rolling hand motions.

Anorexia.

Flat affect.

Dizziness.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Pill-rolling hand motions are a common symptom of Parkinson’s disease. This is a type of tremor where the thumb and fingers rub together in a circular motion as if rolling a pill. This is not a contraindication to administering carbidopa-levodopa.

Choice B rationale

Anorexia, or loss of appetite, could be a sign of a more serious underlying condition or a side effect of the medication. This would require further assessment before administering the medication.

Choice C rationale

A flat affect, or reduced emotional expressiveness, is another common symptom of Parkinson’s disease. This would not typically require further assessment before administering carbidopa- levodopa.

Choice D rationale

Dizziness can be a side effect of carbidopa-levodopa. However, it would not typically require further assessment before administering the medication unless it was severe or persistent.

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Correct Answer is A

Explanation

Benztropine is used as an adjunct therapy for the treatment of all forms of Parkinson’s disease3. It works by reducing the activity of acetylcholine, a neurotransmitter that nerve terminals release to make muscles contract3. One of the side effects of benztropine is dry mouth3. If a patient reports having a very dry mouth, the practical nurse should administer the scheduled medication and provide oral care to help alleviate the symptom3.

A. Headache. B. Difficulty sleeping. C. Palpitations. D. Nausea.

Correct Answer is C

Explanation

Choice A rationale

Headaches are a common side effect of many medications and do not necessarily indicate a serious problem. However, if the headache is severe or persistent, it should be reported to the healthcare provider.

Choice B rationale

Difficulty sleeping is not typically associated with propranolol. While it can occur, it is not a common side effect and is not usually a cause for concern.

Choice C rationale

Palpitations, or a feeling of a fast, fluttering, or pounding heart, can be a sign of an irregular heartbeat, which can be a serious side effect of propranolol. This is because propranolol is a beta-blocker, a type of drug that can slow heart rate and reduce the force of heart contractions. Therefore, if a patient reports palpitations, the healthcare provider should be notified before the next dose of propranolol is given.

Choice D rationale

Nausea is a common side effect of many medications, including propranolol. However, it is usually mild and temporary. If the nausea is severe, persistent, or accompanied by other symptoms such as vomiting, the healthcare provider should be notified.

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The Practical Nurse (PN) is preparing to administer carbidopa-levodopa to a patient with Parkinson’s disease. Which patient finding requires further assessment before administering the medication?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is preparing to administer a scheduled dose of benztropine to a client with Parkinson’s disease. The client reports having a very dry mouth. Which action should the PN take?

Correct Answer is A

Explanation

Which symptom reported by a client indicates that the practical nurse (PN) should notify the healthcare provider before giving a scheduled dose of propranolol?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A client with a history of long-term administration of ibuprofen receives a prescription for misoprostol. Which finding indicates to the practical nurse (PN) that the medication was effective?

The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms. What intervention should the PN include in the client’s care plan?

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

Which instruction should the PN emphasize about the dosing schedule?

The Practical Nurse (PN) is reinforcing information with a patient who has been diagnosed with Human Immunodeficiency Virus (HIV) about the antiretroviral medication regimen. Which patient statement should the PN recognize as requiring an additional review of the information?

A client diagnosed with gout has prescriptions for colchicine and allopurinol to control future attacks. What is the most important information for the practical nurse (PN) to reinforce with the client?

Mark whether the assessment finding represents a therapeutic result of the Bisacodyl administered, a non therapeutic side-effect, or an unrelated finding.