olympics 2

Question 1

which adverse effects associated with levodopa therapy would support the nursing diagnosis risk for injury

Answer 1

orthostatic hypotension

Question 2

a hospitalize patient with Parkinson who is receinvg apomorphine to treat off episodes devolves nausea and vommiting. the nurse will discuss the use of which medication patients provider

Answer 2

trimethobenzamide (Tigan)

Question 3

the nurse is providing information to a patient recently prescribed enctapone which statement is correct

Answer 3

dosage is adjusted according to the patient response

Question 4

a nurse student wants to know to how carbidopa can be effective for treating Parkinson disease if it prevents the conversion of levodopa to dopamine the nurse explains that carbidopia

Answer 4

does not cross the blood brain barrier

Question 4

the nurse provides teaching for a patient who will being taking rotigontine (Neupro) to treat Parkinson disease. what will the nurse include in teaching

Answer 4

if you need to stop this drug your provider will order a gradual withdrawal

Question 5

what is the pharmacologic action of entacapone , a potent catechol O methyl transferase ( COMT) inhibitor

Answer 5

reduce the destruction of dopamine

Question 6

dopamine agonist have been linker with which adverse effects in patients with Parkinson’s disease

Answer 6

sudden sleep events

Question 7

a patient with Parkinson disease is taking levodopa/caridopa (simmer) and report occasional periods of loss of drug aminseting a catechol-o-methyltransferase ( COMT ) inhibitor such as enecatopone

Question 8

the nurse is preparing to begin administration of apomorphine to a patient before aminstwering the nurse will perform a baseline

Answer 8

mobility orientation alertness vital signs

Question 9

a patient who is newly diagnosed wit Parkinson disease is prescribed levodopa dopa . the patient asks the nurse about drugs to prevent disease progression . what will the nurse tell the patient

Answer 9

“while some drugs show promise, there are no studies that have proven a neruoprtective effect “

Question 10

a patient has taken levodopa (dopar) for Parkinson disease for 2 weeks but reports no improvement in symptoms. which response by the nurse is correct

Answer 10

it may take several months for a response to occur

Question 11

a patient with Parkinson disease is taking levodopa / carbidopa (sinment ). the prescriber order to bromorctipone ( parlodel) to treat dyskineasis . the nurse notes that the patient is agitated , and the patient reports having frequent nightmares. the nurse will contact

Answer 11

reducing the dose of bromocriptine

Question 12

a patient with Parkinson disease is taking levodopa/caebidopa along with the amantadine symmetry 400 mg/day to treat dyskineases . The patient reports having increased dyskineasis several months after begging the amantadine the nurse will contact the provider for

Answer 12

interrupting treatment with amantadine for several weeks

Question 13

a patient is Newley diagnosed with Parkinson what is a important teaching

Answer 13

take the drug 30-60 min before the meals on an empty stomach

Question 14

which vitamin will reduce the therapeutic effects go levodopa

Answer 14

b6

Question 15

the nurse is teaching a patient with Parkinson’s disease about levodopa whic statement by nurse is accurate regarding drug administration

Answer 15

take this medication with food or antacids to reduce GI upset

Question 15

what point should be included in when teaching a patient the use of apormorphine

Answer 15

aporminge dose not have any opioid activity
a mukltidose injector is commonly used
you may experience naseua
and sleep attacks

Question 16

a nursing student wants to know why patient who has been taking levodopa(dopar) for years will now receive levodopa the nurse explains that the reason levodopa as a single agent is no longer available .which statement by the student indicates a need for further education

Answer 16

combination product cause fewer dyskineasis and decreased psychosis

Question 17

what is rationale for admistering levodopa instead of dopamine for treatment of Parkinson disease

Answer 17

dopamine does not cross the blood -brain carrier when administered orally

Question 18

a nurse is teaching about parkinson meds whats a one sided effect that is associated with pramipexole( Mirapex)

Answer 18

Sleep attacks

Question 19

the nurse is providing education to a patient recently placed on selegiline disintergating tablets . which statement by the patient indicated a need for further teaching

Answer 19

I will place the tablet on my tongue before breakfast

Question 20

why are carbidopa and levodopa fiber together

Answer 20

carbidopa enhances the action of levodopa and less drug is needed

Question 21

when a patient taking monoamine oxidase b inhibtaor receives his dietary tray the nurse know to remove the

Answer 21

cheese

Question 22

a patient has been diagnosed with parkinosns and begins treatment with levodopa and after serial months of therapy the patient reports no change in symptoms the nurse will expect the provider to

Answer 22

re evaluate the diagnosis

Question 23

a patient who has begun taking sinmet reports feeling lightheaded and dizzy especially when standing up from.a sitting position what will the nurse recommend

Answer 23

increasing salt and water intake

Question 23

a nurse is discussing motor symptoms with Parkinson’s who has been ataking levodopa /caridopa for 9 months and is having tics which shows understing by patient

Answer 23

I may need to try a lower dose of sine met to reduce tics

Question 24

parkisnons has which characteristics

Answer 24

muscle tremors , posture alterations slow body movement

Question 25

a nurse provides teaching for a patient who is newly diagnosed with Parkinson disease . which statment by the patient indicates understand of drug therapy

Answer 25

a levodopa/carbidopa combination is used to improve motor function

Question 26

which cholinergic symptoms of Parkinson’s are reduced with anticholinegenic drugs

Answer 26

tremors and drooling

Question 27

when assign a patient with Parkinson’s diseases who takes a carbidopa/ levodopa combination drug you find that he now has almost constant muscle movements that look like uncoordinated dancing what the best action

Answer 27

hold the next drug dose and report the finding to the healthcare provider

Question 28

a patient newly diagnosed with Parkinson disease has been taking levodopa /caridopa [sindmet] for several weeks and complained nausea and vomiting . the nurse tell the patient to discuss what with the provider

Answer 28

taking a lower dosage with a low protein snack

Question 29

which neurotransmitterhas an inhibitory action within central nervous system

Answer 29

gamma aminobutyric acid

Question 30

how does the drug tolcapone relieve he symptoms of Parkinson disease

Answer 30

suppresses the activity of an enzyme that normally breaks down natrually occurring dopamine

Question 31

the nurse is asking an older patient with partisans who has started on entcapone 1 week ago the patient has a history of crorony artery disease and takes an antihypertensive and aspiring which information would support the need for a reduction is medication dosage by health care provider

Answer 31

dizziness

Question 32

which symptoms in a patient taking levodopa for aparkins disease indicate the drug is wearing off

Answer 32

difficulty sweating increased tremors slower gait