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 C
Explanation
Choice C rationale
Keratolytics are medications designed to dissolve skin flakes and scales. In the treatment of psoriasis, a condition characterized by thick, scaly patches of skin, the desired effect of a keratolytic would be to soften and reduce these scales.
Choice A rationale
While no purulent drainage present from lesions on the legs could be a positive sign in the treatment of psoriasis, it is not a direct result of the keratolytic properties of the applied preparation.
Choice B rationale
Affected areas being free of localized redness and swelling could be a positive sign in the treatment of psoriasis, but it is not a direct result of the keratolytic properties of the applied preparation.
Choice D rationale
Full range of motion without pain of lower extremity joints is not a direct result of the keratolytic properties of the applied preparation. It could be a positive sign in the overall treatment of psoriasis, but it is not directly related to the use of a keratolytic.
Correct Answer is B
Explanation
Choice A rationale
Montelukast does not increase the production of mucus in the lungs. In fact, it helps to reduce inflammation and may be used to prevent asthma attacks.
Choice B rationale
Montelukast is a leukotriene modifier that helps to reduce inflammation and prevent asthma attacks and exercise-induced bronchoconstriction. It works by blocking the action of leukotriene D4 in the lungs resulting in decreased inflammation and relaxation of smooth muscle. This prophylactic limitation of the inflammatory response to allergens is a key function of montelukast.
Choice C rationale
Montelukast does not contract the smooth muscles located in the respiratory tract. Instead, it helps to relax the smooth muscles in the lungs, reducing inflammation and making it easier to breathe.
Choice D rationale
Montelukast does not directly repair damaged tissue in the base of the lungs. Its primary function is to prevent and manage symptoms of asthma and allergies by reducing inflammation in the airways.
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