CH 20 Degenerative diseases NS Flashcards
5) The nurse is caring for an older adult prescribed benztropine (Cogentin). For which adverse effect should the nurse monitor the patient?
1. Confusion
2. Bradycardia
3. Diarrhea
4. Agitation
- Confusion
13) A client is prescribed trihexyphenidyl (Artane). Which assessment finding should the nurse report to the healthcare provider?
1. Dry mouth
2. Anorexia
3. Hypertension
4. Urinary retention
- Urinary retention
6) Which assessment finding warrants the nurse to hold the dosage of benztropine (Cogentin) and notify the healthcare provider?
1. A respiratory rate of 14
2. A pulse of 112
3. Blood pressure of 142/80 mmHg
4. A temperature of 100.2°F
- A pulse of 112
9) The nurse is preparing to provide education for a client prescribed carbidopa (Sinemet). Which information should the nurse include?
1. Avoid drinking caffeinated beverages.
2. Take the medication with meals.
3. Take the medication on an empty stomach.
4. Take the medication with a protein food.
- Take the medication on an empty stomach.
12) The nurse has completed the education for a client prescribed levodopa (Stalevo). Which statement made by the client indicates an understanding of the information?
1. “I will increase the intake of vitamin B6 in my diet.”
2. “I will weigh myself weekly.”
3. “I will increase the protein in my diet.”
4. “I will notify my healthcare provider if my urine darkens.”
- “I will weigh myself weekly.”
18) Which should the nurse recognize is the benefit of a prescription for levodopa for a client with Parkinson’s disease?
1. Crosses the blood-brain barrier
2. Has fewer adverse effects
3. Less risk for addiction
4. Can be administered intravenously
- Crosses the blood-brain barrier
7) The nurse is reviewing the prescription history for a client receiving levodopa (Stalevo). Which routine prescription is most concerning?
1. Aspirin
2. Metformin
3. Calcium antacid
4. Synthroid
- Calcium antacid
8) Which assessment finding in an older adult prescribed levodopa (Stalevo) should the nurse be most concerned with?
1. Hypertension
2. Diarrhea
3. Muscle twitching
4. Dark urine
- Muscle twitching
14) The nurse is caring for a client suspected of overdosing on donepezil (Aricept). Which prescription should the nurse prepare to administer?
1. Physostigmine
2. Epinephrine
3. Atropine
4. Gastric lavage with charcoal
- Atropine
20) Which prescription should the nurse anticipate will most likely be prescribed for a client with Alzheimer’s disease?
5. Levodopa (Larodopa)
6. Haloperidol (Haldol)
7. Benztropine mesylate (Cogentin)
8. Donepezil hydrochloride (Aricept)
- Donepezil hydrochloride (Aricept)
27) A client receiving pharmacotherapy for the treatment of Parkinson’s disease has experienced increased eye twitching tremors. Which treatment interventions should the nurse anticipate?
Select all that apply.
1. Increase in the dosage of the prescription
2. Changing the interval between the doses of prescriptions
3. Changing the route of administration of the prescription
4. A scheduled drug holiday
5. Implementing an adjunctive prescription
- Increase in the dosage of the prescription
- Changing the interval between the doses of prescriptions
- Implementing an adjunctive prescription
27) A client receiving pharmacotherapy for the treatment of Parkinson’s disease has experienced increased eye twitching tremors. Which treatment interventions should the nurse anticipate?
Select all that apply.
1. Increase in the dosage of the prescription
2. Changing the interval between the doses of prescriptions
3. Changing the route of administration of the prescription
4. A scheduled drug holiday
5. Implementing an adjunctive prescription
- Increase in the dosage of the prescription
- Changing the interval between the doses of prescriptions
- Implementing an adjunctive prescription
28) The nurse has provided education for a client who received a new prescription for the treatment of Parkinson’s disease. Which statements made by the client indicate an understanding of the information?
Select all that apply.
1. “I guess I will have to give up eating my wife’s banana pudding.”
2. “I should add some wheat germ to my breakfast cereal.”
3. “I should add olive oil to the salads I eat at noon each day.”
4. “I will most likely have to become a vegetarian.”
5. “I will take my medication on an empty stomach.”
- “I guess I will have to give up eating my wife’s banana pudding.”
- “I will take my medication on an empty stomach.”
17) Which should the nurse understand is the action of the pharmacotherapy used to treat Parkinson’s disease?
1. Increase the amount of dopamine and reduce the amount of acetylcholine.
2. Increase the amount of dopamine and acetylcholine.
3. Reduce the amount of dopamine and increase the amount of acetylcholine.
4. Reduce the amount of dopamine and acetylcholine.
- Increase the amount of dopamine and reduce the amount of acetylcholine.
