Pharm 14

Which item should be removed from the meal try of a patient taking a monoamine oxidase B inhibitor? a. Cheese b. Eggs c. Bread d. Coffee

a. Cheese

Which rationale applies to administering levodopa instead of dopamine for treatment of Parkinson's disease? a. Dopamine does not cross the blood-brain 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 blood-brain barrier when administered orally.

Which baseline assessment(s) will be performed prior to administering apomorphine to a patient? (Select all that apply.) a. Mobility b. Orientation c. Intellectual ability d. Alertness e. Vital signs

a. Mobility b. Orientation d. Alertness e. Vital signs

Which characteristic symptom(s) apply(ies) to a patient's diagnosis of Parkinson's disease? (Select all that apply.) a. Muscle tremors b. Posture alterations c. Muscle flaccidity d. Tachycardia e. Slow body movement

a. Muscle tremors b. Posture alterations e. Slow body movement

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

b. B6

Which statement about entacapone is correct? a. This medication is not to be taken with carbidopa levodopa. b. Dosage is adjusted according to the patient's 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 is adjusted according to the patient's response.

Which statement by the patient recently placed on selegiline disintegrating tablets 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.

Which adverse effects associated with levodopa therapy would support adding a nursing diagnosis that relates to being at risk for injury to the patients plan of care? a. Nausea and vomiting b. Orthostatic hypotension c. Anorexia and depression d. Tachycardia and palpitations

b. Orthostatic hypotension

Which point(s) should be included when teaching a patient about the use of apomorphine for treatment of Parkinson's 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.

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.

Which medication should be held when a patient taking rasagiline is assessed by the nurse to have a lasting significant increase in blood pressure? a. Dextromethorphan b. Levodopa c. Ciprofloxacin d. Valium

c. Ciprofloxacin

Which pharmacologic action applies to entacapone? 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 Parkinson's disease.

c. Reduces the destruction of dopamine in peripheral tissues.

Which adverse effects in patients with Parkinson's disease have been linked to dopamine agonists? a. Oculogyric crisis b. Tardive dyskinesia c. Sudden sleep events d. Akathisia

c. Sudden sleep events

Which cholinergic symptoms of Parkinson's 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 Parkinson's 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 healthcare provider? a. Constipation b. Brownish orange urine c. Drowsiness d. Dizziness

d. Dizziness

Which statement by is accurate regarding the administration of levodopa? a. Takethismedicationinbetweenmeals.‖ 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.