C HAPTER 15: A NTIPARKINSON D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is developing a care plan for a patient who is taking an
anticholinergic drug. Which human needs statement would be appropriate
for this patient?
a. Altered gastrointestinal elimination (diarrhea)
b. Altered urinary elimination
c. Altered safet y needs, risk for infection
d. Altered sleep needs
ANS: B
Patients receiving anticholinergic drugs are at risk for urinary retention
and constipation, not diarrhea. The other human needs statements are
not applicable to anticholinergic drugs.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
2. A patient who has been on levodopa therapy for a year has a new order for
a catechol ortho-methyltransferase (COMT) inh ibitor as part of treatment
for Parkinson ’s disease. The nurse recognizes that which of these is an
advantage of this drug class?
a. It has a shorter duration of action.
b. It causes less gastrointestinal distress.
c. It has a slower onset than traditional Parkinso n’s disease drugs.
, d. It reduces the wearing -off phenomenon.
ANS: D
COMT inhibitors prolong the duration of action of levodopa, resulting
in reduced wearing-off phenomenon. The other statements are
incorrect.
DIF: Cognitive Level: Understanding (Comprehension )
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient taking entacapone for the first time calls the clinic to report a
dark discoloration of his urine. After listening to the patient , the nurse
realizes that what is happening in this situation?
a. This is a harmless effect of the drug.
b. The patient has taken this drug along with red wine or cheese.
c. The patient is having an allergic reaction to the drug.
d. The ordered dose is too high for th is patient.
ANS: A
COMT inhibitors, including entacapone, may darken a patient ’s urine
and sweat.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is developing a care plan for a patient who is taking an
anticholinergic drug. Which human needs statement would be appropriate
for this patient?
a. Altered gastrointestinal elimination (diarrhea)
b. Altered urinary elimination
c. Altered safet y needs, risk for infection
d. Altered sleep needs
ANS: B
Patients receiving anticholinergic drugs are at risk for urinary retention
and constipation, not diarrhea. The other human needs statements are
not applicable to anticholinergic drugs.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
2. A patient who has been on levodopa therapy for a year has a new order for
a catechol ortho-methyltransferase (COMT) inh ibitor as part of treatment
for Parkinson ’s disease. The nurse recognizes that which of these is an
advantage of this drug class?
a. It has a shorter duration of action.
b. It causes less gastrointestinal distress.
c. It has a slower onset than traditional Parkinso n’s disease drugs.
, d. It reduces the wearing -off phenomenon.
ANS: D
COMT inhibitors prolong the duration of action of levodopa, resulting
in reduced wearing-off phenomenon. The other statements are
incorrect.
DIF: Cognitive Level: Understanding (Comprehension )
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient taking entacapone for the first time calls the clinic to report a
dark discoloration of his urine. After listening to the patient , the nurse
realizes that what is happening in this situation?
a. This is a harmless effect of the drug.
b. The patient has taken this drug along with red wine or cheese.
c. The patient is having an allergic reaction to the drug.
d. The ordered dose is too high for th is patient.
ANS: A
COMT inhibitors, including entacapone, may darken a patient ’s urine
and sweat.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
