Chap 15 (exam 2) Flashcards
1
Q
A patient with Parkinson's disease has difficulty performing voluntary movements. What is the correct term for this symptom? Akinesia Dyskinesia Chorea Dystonia
A
Dyskinesia
2
Q
Which drug may be used early in the treatment of Parkinson's disease but eventually loses effectiveness and must be replaced by another drug? Amantadine (Symmetrel) Levodopa (Larodopa) Selegiline (Eldepryl) Tolcapone (Tasmar)
A
Amantadine (Symmetrel)
3
Q
Which drug may be used prophylactically to delay the development of the debilitation of Parkinson's Disease for up to 18 years? Levodopa (Larodopa) Benztropin (Cogentin) Carbidopa (Lodosyn) Selegiline (Eldepryl)
A
Selegiline (Eldepryl)
4
Q
A patient who is newly diagnosed with Parkinson’s disease and beginning medication therapy with entacapone (Comtan), a COMT inhibitor, asks the nurse, “How soon will improvement occur?” What is the nurse’s best response?
“That varies from patient to patient”
“You should discuss that with your physician”
“You should notice a difference in a few days”
“It may take several weeks before you notice any degree of improvement”
A
“You should notice a difference in a few days”
5
Q
A patient asks the nurse why a second drug is given with his drugs for Parkinson's disease. The nurse notes that this drug, an anticholinergic, is given to control or minimize which symptoms? Select all that apply: Drooling Constipation Muscle rigidity Bradykinesia Dry mouth
A
Drooling
Muscle rigidity
6
Q
The nurse is providing teaching on COMT inhibitors to a patient with a new prescription. The nurse will be sure to educate the patient on the possibility of which adverse effect? Dizziness Urine discoloration Leg edema Visual changes
A
Urine discoloration
7
Q
Carbidopa-levodopa (Sinemet) is prescribed for a patient with Parkinson's disease. The nurse will inform the patient of which possible adverse effects? Select all that apply: Palpitations Insomnia Hypotension Urinary frequency GI distress
A
Palpitations
Hypotension
GI distress
