QUIZ 8 MS2 Chapter 14

When a patient taking a monoamine oxidase B inhibitor receives his dietary tray, the nurse knows to remove the: a .cheese. b. eggs. c. bread. d. coffee.

A cheese

Which vitamin will reduce the therapeutic effects of levodopa? a. A b.B6 c.C d.D

B B6

The nurse is providing information to a patient recently prescribed entacapone. Which statement is correct a.This medication is not to be taken with carbidopa levodopa. b.Dosage is adjusted according to the patients response. c.There will be fewer incidences of dopaminergic effects, such as confusion. d.This medication increases the production of dopamine in the brain.

B dosage adjusted according to the patient response

The nurse is providing education to a patient recently placed on selegiline disintegrating tablets. Which statement by the patient indicates a need for further teaching? a.This medication will help slow the development of symptoms. b.I will place the tablet on my tongue before breakfast. c.I may need to use a stool softener for constipation. d.I should not push the tablet through the foil.

B i will place the tablet on my tongue before breakfast.

What is the rationale for administering levodopa instead of dopamine for treatment of Parkinsons disease? a.Dopamine does not cross the bloodbrain barrier when administered orally. b.Levodopa is much less expensive. c.The half life of dopamine is too short. d.Dopamine has too many reactions with other medications

A.Dopamine does not cross the bloodbrain barrier when administered orally.

Which adverse effects associated with levodopa therapy would support the nursing diagnosis Risk for injury? a.Nausea and vomiting b.Orthostatic hypotension c.Anorexia and depression d.Tachycardia and palpitations

B orthodontic hypertension

Dopamine agonists have been linked with which adverse effects in patients with Parkinsons disease? a.Oculogyric crisis b.Tardive dyskinesia c.Sudden sleep events d.Akathisia

C sudden sleep events

Which cholinergic symptoms of Parkinsons disease are reduced with anticholinergic drugs? a.Cognitive impairments b.Rigidity c.Tremors and drooling d.Postural abnormalities

C tremors and drooling

The nurse is assessing an older patient with Parkinsons disease who was started on entacapone 1 week ago. The patient has a history of coronary artery disease and takes an antihypertensive and aspirin. Which information would support the need for a reduction in medication dosage by the health care provider? a.Constipation b.Brownish orange urine c.Drowsiness d.Dizziness

D dizziness

The nurse is teaching a patient with Parkinsons disease about levodopa. Which statement by the nurse is accurate regarding drug administration? a.Take this medication in between meals. b.Take this medication at bedtime to prevent dizziness. c.Take this medication when your tremors get worse. d.Take this medication with food or antacids to reduce GI upset.

D.Take this medication with food or antacids to reduce GI upset.

A patient taking rasagiline is assessed by the nurse to have a lasting significant increase in blood pressure. When reviewing the patients current list of medications, the nurse decides to hold the next dose of: a.dextromethorphan. b.levodopa. c.ciprofloxacin. d.Valium.

c. ciprofloxacin

The nurse is preparing to begin administration of apomorphine to a patient. Before administering, the nurse will perform a baseline assessment of the patients: (Select all that apply.) a.mobility. b.orientation. c.intellectual ability. d.alertness. e.vital signs.

ANS: A, B, D, E mobility orientation alertness vital sign

Parkinsons disease has which characteristic symptom(s)? (Select all that apply.) a.Muscle tremors b.Posture alterations c.Muscle flaccidity d.Tachycardia e.Slow body movement

ANS: A, B, E muscle tremors posture alteration slow body movements

What point(s) should be included when teaching a patient about the use of apomorphine for treatment of Parkinsons disease? (Select all that apply.) a. The restoration of function resulting from stimulation of dopamine receptors is permanent. b. Apomorphine may be administered intravenously for rapid relief. c. Apomorphine does not have any opioid activity. d. A multidose injector pen is commonly used to administer apomorphine. e. You may experience nausea and vomiting, which can be treated with trimethobenzamide (Tigan). f. You may experience sleep attacks or episodes of daytime sleepiness.

ANS: C, D, E, F c. Apomorphine does not have any opioid activity. d. A multidose injector pen is commonly used to administer apomorphine. e. You may experience nausea and vomiting, which can be treated with trimethobenzamide (Tigan). f. You may experience sleep attacks or episodes of daytime sleepiness.

What is the pharmacologic action of entacapone, a potent catechol O methyl transferase (COMT) inhibitor? a.Slows the deterioration of dopaminergic nerve cells b.Inhibits the relative excess of dopaminergic activity c.Reduces the destruction of dopamine in peripheral tissues d.Enhances the cholinergic symptoms of Parkinsons disease

C reduce distraction of dopamine in peripheral tissues