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ATI The Neurological System (Part 1)Test (ANswered) 25 out of 25

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ATI The Neurological System (Part 1) A HCP is caring for a patient who is about to begin taking pramipexole (mirapex) to treat Parkinson's disease. The HCP should recognize that which of the following laboratory tests require monitoring? Creatine phosphokinase (CPK) CPK is an enzyme found in the heart, brain, and skeletal muscles. Patients taking pramipexole can develop muscle weakness with a lack of energy, creating a situation that can be more problematic for patients than their original muscle dysfunction. Monitoring CPK can alert health care professionals to the possibility of skeletal muscle damage from the drug. For which of the following should a health care professional monitor a patient who is taking donepezil (Aricept) for Alzheimer's disease? Nausea The most common adverse effects of donepezil, a cholinesterase inhibitor, are nausea, vomiting, and diarrhea. Taking the drug with food can help minimize adverse effects. A HCP is talking to a patient who is newly diagnosed with Parkinson's disease about how levodopa/carbidopa (Sinemet) will hep control her symptoms. which of the following mechanisms is the drug effective in treating the disorder? Increases available dopamine in the brain Levodopa/carbidopa, a dopaminergic agent, can act by increasing dopamine in the extrapyramidal center of the brain, reducing involuntary motion. A HCP is talking to a patient who is about to begin taking valproic acid (Depakote) for a newly diagnosed seizure disorder. He should tell the patient to watch for which of the following adverse side effects? drowsiness, headache, rash -Patients taking valproic acid should report CNS depressant effects, such as sedation or drowsiness, because these effects can indicate the need for a reduction in dose. Rash -Skin rash is a side effect of valproic acid and other antiepileptic drugs. Which of the following findings should alert a HCP that a patient is developing a potentially serious adverse side reaction to interferon beta-1b (Betaseron)? Fatigue B/c of the potential for bone marrow suppression and decreased platelet count, patients should report unexplained bruising, bleeding, or fatigue. While talking to a patient and his family about taking memantine (Namenda) for Alzheimer's disease, the HCP should include which of the following instructions? Notify the health care professional before taking over-the-counter antacids. Antacids that contain sodium bicarbonate increase urine alkalinity and can decrease drug excretion, ultimately leading to toxicity.


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