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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Minoxidil is an antihypertensive vasodilating agent used for resistant hypertension. It reduces peripheral resistance and produces a fall in blood pressure. One of the side effects of minoxidil can be mouth dryness. Therefore, mouth dryness can indicate that the minoxidil is having its intended therapeutic effect.
Choice B rationale
Dizziness while sitting up is not a therapeutic result of minoxidil. It could be a side effect or a symptom of orthostatic hypotension, which is a form of low blood pressure.
Choice C rationale
Blood glucose level of 218 mg/dl is not related to the therapeutic effect of minoxidil. Minoxidil is not used to control blood glucose levels. It’s used primarily to treat high blood pressure.
Choice D rationale
Pain rated at 1/10 is not a direct therapeutic result of minoxidil. Minoxidil is not an analgesic medication and does not directly affect pain levels.
Correct Answer is C
Explanation
Choice A rationale
Diminished urinary urgency is an expected outcome of oxybutynin treatment, as the
medication works by relaxing the muscles of the bladder.
Choice B rationale
Reduced urinary frequency is another expected outcome of oxybutynin treatment.
Choice C rationale
Decreased urinary output is not a typical effect of oxybutynin. In fact, oxybutynin is used to
manage symptoms of an overactive bladder, which include frequent urination. Therefore, if the
PN observes decreased urinary output, it could indicate a problem such as urinary retention,
which should be reported to the charge nurse.
Choice D rationale
Less frequent urinary incontinence is an expected outcome of oxybutynin treatment.
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