NUR 2474 CORRECT TEST PAPER QUESTIONS AND
ANSWERS SET A+
✔✔what does levodopa and carbidopa do? - ✔✔works to increase the amount of
dopamine that can be used for reuptake in the brain. It is a dopaminergic agent in which
once it is converted, the drug will then act as a dopamine supply and will be taken up.
✔✔what is the purpose of carbidopa use? - ✔✔helps to enhance the effects of levodopa
and decrease GI discomfort. has no other effects.
✔✔side effects of levodopa/carbidopa - ✔✔N, V, CV postural hypotension, increase
intake of salt and water, psychotic s/s when too much in brain, mood changes- more
anxious and agitated, memory and cognitive impairment, risky behaviors, dyskinesia,
darken sweat and urine, malignant melanoma
✔✔what things should we teach our patient about when taking levodopa/carbidopa? -
✔✔give additional carbidopa to alleviate GI effects, change position slowly, fall
precautions needed, increase fluids, decrease amount if psychotic symptoms apparent,
assist with relaxation, teach about the darkened urine and importance of skin checks,
will need to spread out protein rich meals due to interaction.
✔✔interactions with levodopa/carbidopa - ✔✔protein, vitamin B6
✔✔What is levodopa/carbidopa used to treat? - ✔✔Parkinsons disease
✔✔what are some of the effects of the cholinesterase inhibitors? - ✔✔increase in
salivation, lacrimation, urination, diarrhea, gi effect, emesis, muscus (SLUDGEM)
✔✔what are some of the effects of the anticholinergic drugs - ✔✔can't see, can't spit,
can't pee, can't poop
✔✔what do cholinesterase inhibitors interact with? - ✔✔patients who have asthma- drug
use can cause bronchoconstriction, will be worse with patients who have asthma
, ✔✔what is interferon beta used for? - ✔✔MS exacerbations
✔✔how does interferon beta work? - ✔✔a. Suppresses wbc and leukocytes in the
immune system.
✔✔what are side effects form the use of interferon beta - ✔✔flu like symptoms- fever,
chills, HA, body aches. Hepatotoxicity, myelosuppression, injection site reactions,
depression, suicidal thoughts.
✔✔what are some things we should teach while using interferon beta? - ✔✔they may
have flu like symptoms but not the flu- if they have them can use ibuprofen or
acetaminophen, rotate injection sites, if pain itchy or redness, they can take
diphenhydramine
✔✔what is oxcarbazepine used for? - ✔✔anti seizures
✔✔what can oxcarbazepine cause that is significant? - ✔✔hyponatremia
✔✔what is the importance about the interaction between oxcarbazepine and diuretics? -
✔✔the patient will lose more sodium and water, dropping their sodium level even more
than the drug will (additive effect).
✔✔what is lamotrigdine used for? - ✔✔anti seizures and bipolar disorder.
✔✔what are the side effects of lamotrigdine? - ✔✔dizziness, double and blurry vision,
N,V, Steven Johnson's syndrome, aseptic meningitis, risk for suicide
✔✔explain what Stevens Johnson's syndrome is? - ✔✔full body rash caused by the
medication, can be fatal if not treated.
✔✔what is an important assessment we must do when the patient use lamotrigdine? -
✔✔skin assessment
✔✔what is baclofen used for? - ✔✔treats muscles spasms associated with MS, SCI,
CP- it suppresses the resistance to passive movement
✔✔what are side effects of baclofen? - ✔✔CNS depressant effection, GI efect, urinary
retention
✔✔is there an antidote to baclofen use? - ✔✔no
✔✔what should we do when discontinuing baclofen? - ✔✔withdraw the medication over
1-2 weeks, if too fast, the patient is at risk for rhabdomyolysis
ANSWERS SET A+
✔✔what does levodopa and carbidopa do? - ✔✔works to increase the amount of
dopamine that can be used for reuptake in the brain. It is a dopaminergic agent in which
once it is converted, the drug will then act as a dopamine supply and will be taken up.
✔✔what is the purpose of carbidopa use? - ✔✔helps to enhance the effects of levodopa
and decrease GI discomfort. has no other effects.
✔✔side effects of levodopa/carbidopa - ✔✔N, V, CV postural hypotension, increase
intake of salt and water, psychotic s/s when too much in brain, mood changes- more
anxious and agitated, memory and cognitive impairment, risky behaviors, dyskinesia,
darken sweat and urine, malignant melanoma
✔✔what things should we teach our patient about when taking levodopa/carbidopa? -
✔✔give additional carbidopa to alleviate GI effects, change position slowly, fall
precautions needed, increase fluids, decrease amount if psychotic symptoms apparent,
assist with relaxation, teach about the darkened urine and importance of skin checks,
will need to spread out protein rich meals due to interaction.
✔✔interactions with levodopa/carbidopa - ✔✔protein, vitamin B6
✔✔What is levodopa/carbidopa used to treat? - ✔✔Parkinsons disease
✔✔what are some of the effects of the cholinesterase inhibitors? - ✔✔increase in
salivation, lacrimation, urination, diarrhea, gi effect, emesis, muscus (SLUDGEM)
✔✔what are some of the effects of the anticholinergic drugs - ✔✔can't see, can't spit,
can't pee, can't poop
✔✔what do cholinesterase inhibitors interact with? - ✔✔patients who have asthma- drug
use can cause bronchoconstriction, will be worse with patients who have asthma
, ✔✔what is interferon beta used for? - ✔✔MS exacerbations
✔✔how does interferon beta work? - ✔✔a. Suppresses wbc and leukocytes in the
immune system.
✔✔what are side effects form the use of interferon beta - ✔✔flu like symptoms- fever,
chills, HA, body aches. Hepatotoxicity, myelosuppression, injection site reactions,
depression, suicidal thoughts.
✔✔what are some things we should teach while using interferon beta? - ✔✔they may
have flu like symptoms but not the flu- if they have them can use ibuprofen or
acetaminophen, rotate injection sites, if pain itchy or redness, they can take
diphenhydramine
✔✔what is oxcarbazepine used for? - ✔✔anti seizures
✔✔what can oxcarbazepine cause that is significant? - ✔✔hyponatremia
✔✔what is the importance about the interaction between oxcarbazepine and diuretics? -
✔✔the patient will lose more sodium and water, dropping their sodium level even more
than the drug will (additive effect).
✔✔what is lamotrigdine used for? - ✔✔anti seizures and bipolar disorder.
✔✔what are the side effects of lamotrigdine? - ✔✔dizziness, double and blurry vision,
N,V, Steven Johnson's syndrome, aseptic meningitis, risk for suicide
✔✔explain what Stevens Johnson's syndrome is? - ✔✔full body rash caused by the
medication, can be fatal if not treated.
✔✔what is an important assessment we must do when the patient use lamotrigdine? -
✔✔skin assessment
✔✔what is baclofen used for? - ✔✔treats muscles spasms associated with MS, SCI,
CP- it suppresses the resistance to passive movement
✔✔what are side effects of baclofen? - ✔✔CNS depressant effection, GI efect, urinary
retention
✔✔is there an antidote to baclofen use? - ✔✔no
✔✔what should we do when discontinuing baclofen? - ✔✔withdraw the medication over
1-2 weeks, if too fast, the patient is at risk for rhabdomyolysis
