Vital Signs Day 1:

Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min

Heart rate 74/min

Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air

Day 7:

Temperature 36.9 0 C (98.40 F) Heart rate 86/min

Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air

Provider Prescriptions Day 1:

Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day

7:

Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily

Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

“Consumption of a high-protein meal can reduce the effectiveness of the medication”

"You can experience vivid nightmares."

"You may notice your urine becomes lighter in color."

"The medication can cause nausea, so take with a meal."

"This medication can make you light-headed if you stand up too quickly from a seated or lying position."

"You may initially notice an increase in involuntary movements."

Answer and Explanation

Correct Answer : A,B,D,E,F

The medication causes a harmless discoloration or urine (Levodopa causes darkening of urine rather than lightening), high protein intake interferes with the availability of the medication in the CNS, The medication causes orthostatic hypotension and dizziness, The medication should be taken with a meal if nausea and vomiting occurs, Initially the medication can cause dyskinesia which should be reported, The medication also cause hallucinations and sleep disturbances

Nursing Test Bank

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Correct Answer is D

Explanation

The provider should be consulted as other oral alternative exist. It is important for the nurse to understand his or her role as a client’s advocate. In this, role, she should acknowledge the client’s concerns and address the issues without coercing or threatening the client.

A- This does not respect client’s autonomy

B- This statement is inappropriate as the nurse should not use threats to induce fear

C- This statement fails to appreciate the client’s concerns

A. Somnolence B. Diarrhea C. Bradycardia D. Hypertension

Correct Answer is D

Explanation

Monoamine oxidase inhibitors (MAOIs) block the enzyme monoamine oxidase, which is responsible for breaking down tyramine in the body. When taking MAOIs, consuming high-tyramine foods can cause tyramine levels to reach dangerous levels, leading to a serious spike in blood pressure. It's important to follow a low-tyramine diet while on MAOIs and for a few weeks after stopping the medication to prevent a hypertensive crisis. The interaction has no effect on bowel habits, or arousal/wakefulness

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a gonococcal infection and has been prescribed an 1M injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?

Correct Answer is D

Explanation

A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?