Which of the following would a nurse anticipate seeing in a client with parkinson disease?

When assessing a client’s knowledge about Parkinson’s disease, the nurse recognizes more teaching is needed when the client comments:

“I inherited Parkinson’s from my parents.”

**the correct answer is: At the present time, heredity is not considered a predisposing factor.

Home care client teaching for clients receiving levodopa should include which of the following?

Use caution and rise slowly from a bed or chair.

When developing a care plan for a client with Parkinson’s disease, the nurse would identify which of the following nursing diagnoses as the highest priority?

risk for injury and falls related to lack of coordination in movements

A client receiving carbidopa/levodopa would be monitored for:

nausea, vomiting, and orthostatic hypotension.

The nurse understands that apomorphine HCl is sometimes used for clients with Parkinson’s disease:

as a rapid “rescue” from a “frozen” state.
It is very effective in treating a frozen state caused by undermedication.

When teaching a client prescribed tolcapone, the nurse should instruct the client that the client:

will need to have liver function tests monitored every 2 weeks for the first year of therapy.
Because of the risk for liver failure, this action is necessary.

The client with Parkinson’s disease who is prescribed carbidopa to be used in combination with levodopa asks the nurse why this has been prescribed. The nurse’s best response would be:

“The carbidopa prevents levodopa breakdown, so you’ll need less levodopa.”
This is the action of carbidopa in the combination product.

After being diagnosed with Parkinson’s disease, which of the following responses made to the nurse by the client would indicate a basic understanding of Parkinson’s disease?

“I have too much acetylcholine in my brain.”

When teaching clients taking levodopa alone, the nurse should instruct them not to take vitamin supplements containing:

pyridoxine (B6)- Pyridoxine facilitates the breakdown of levodopa, decreasing its effects.

In administering oral medications to a client with Parkinson’s disease, the nurse:

is careful not to rush the client.-Because difficulty swallowing is a manifestation of Parkinson’s disease, rushing the client would increase the risk of choking and aspiration.

The therapeutic effectiveness of antiparkinson drugs can be assessed through observations regarding:

the ability to ambulate, speak, and provide self-care.

When a client is to begin taking carbidopa/levodopa after having been on levodopa alone, the nurse should advise the client to:

discontinue levodopa at least 8 hours before carbidopa/levodopa therapy begins.

A client asks the nurse if his medications for Parkinson’s disease will cure his disease. The nurse’s best response would be:

“No, at this time there is no cure for the disease, but these medications can manage the symptoms.”

A client is prescribed carbidopa/levodopa in the form of Sinemet 10/100. The nurse explains to the client that this indicates what dosage of this medication?

10 mg of carbidopa and 100 mg of levodopa

A client is prescribed a monoamine oxidase inhibitor for the treatment of his Parkinson’s disease. The nurse anticipates that this drug is:

-Selegiline inhibits monoamine oxidase.

A client is prescribed benztropine mesylate for treatment of her Parkinson’s symptoms. The nurse understands this agent is:

an anticholinergic agent.-Benztropine mesylate is an anticholinergic agent.

The nurse should offer the client taking benztropine mesylate which suggestion to cope with the adverse effects of this agent?

“Sucking on sugar-free hard candy and increasing your fluid intake will help decrease the dry mouth associated with this drug.
This drug is an anticholinergic that causes dry mouth. These suggestions will decrease this adverse effect.

Newer treatments for Parkinson’s disease include the use of antioxidants such as:

vitamin E-Research is testing the use of low-protein diets and vitamin E for treatment.

The nurse understands that most adverse effects associated with levodopa are related to:

the large doses required for therapy-The large doses necessary for effective treatment cause the adverse effects.

When assessing a client diagnosed with Parkinson’s disease for evidence of inadequate drug management of the disease, the nurse anticipates the client will exhibit which of the following manifestations?

shuffling unsteady gait- A shuffling gait and lack of coordination leading to an unsteady gait are common manifestations of Parkinson’s and would indicate inadequate management.

A client is prescribed apomorphine. The nurse prepares to administer this medication via what route?

Subcutaneous -administration provides effects within 4 to 8 minutes.

When preparing to administer apomorphine, the nurse collects appropriate equipment consisting of:

a 25-gauge 5/8-inch needle on a 1 mL syringe.-is administered SC. This is appropriate equipment.

When caring for the client with Parkinson’s disease, the nurse’s assessment of the client is influenced by an understanding that these clients:

usually develop additional health problems.
Some of the health problems are disease-related, some drug-therapy-related.

Many clients with Parkinson’s disease experience negative feelings about how they appear, because of the manifestations of this disease. An appropriate goal for these clients would be:

client will verbalize positive feelings about body image.
The manifestations frequently cause a disturbed body image, and this is the best goal for this problem.

Which of the following statements is NOT true concerning the use of Parlodel as part of a treatment regimen for Parkinson's disease?

It is useful, but the maintenance dose of levodopa must be increased even in combination products.
-Parlodel may allow for a reduction in the maintenance dose of levodopa even in the combination products.

The instructor questions the nurse recruit about the new prescription order for her client. The medication is ropinirole HCl, and the nurse recruit would be correct making all of the following statements EXCEPT:

Ropinirole HCl should be discontinued immediately if adverse effects are noted.”

The nurse working with clients diagnosed with Parkinson's disease should do which of the following? Select all that apply.

b. Encourage clients to provide as much self-care as possible.
c. Encourage clients to remain active.
d. Instruct clients to drink at least 8 glasses of water a day.
e. Encourage clients not to rush when taking their oral medications

A client receiving trihexyphenidyl HCl should be monitored for which of the following? Select all that apply.

urinary retention and constipation-These are adverse effects of anticholinergic agents.

A client is prescribed bromocriptine mesylate and should be monitored for which of the following? Select all that apply.

hallucinations
psychiatric symptoms
abnormal movements
Bromocriptine can cause hallucinations and psychiatric changes, and abnormal movements.