chapter 14

Which statement by the patient recently placed on selegiline disintegrating tablets indicates a need for further teaching?

―I will place the tablet on my tongue before breakfast.

Which statement by is accurate regarding the administration of levodopa?

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

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, B, D, E

Which vitamin will reduce the therapeutic effects of levodopa?

B6

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. ANS:

C, D, E, F

Which medication should be held when a patient taking rasagiline is assessed by the nurse to have a lasting significant increase in blood pressure?

Ciprofloxacin

Which rationale applies to administering levodopa instead of dopamine for treatment of Parkinson's disease?

Dopamine does not cross the blood-brain barrier when administered orally.

Which statement about entacapone is correct?

Dosage is adjusted according to the patient's response.

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?

Orthostatic hypotension

Which pharmacologic action applies to entacapone?

Reduces the destruction of dopamine in peripheral tissues.

Which adverse effects in patients with Parkinson's disease have been linked to dopamine agonists?

Sudden sleep events

Which cholinergic symptoms of Parkinson's disease are reduced with anticholinergic drugs?

Tremors and drooling

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,b,e

Which item should be removed from the meal try of a patient taking a monoamine oxidase B inhibitor?

cheese

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?

dizzness