Patho Final
Study online at https://quizlet.com/_6hwb6m
1. A nurse provides teaching for a patient who is newly "A levodopa/carbidopa
diagnosed with Parkinson's disease. Which statement combination is used to
by the patient indicates understanding of the drug improve motor function."
therapy for this disease?
2. A patient has been diagnosed with Parkinson's dis- re-evaluate the diagnosis.
ease (PD) and begins treatment with levodopa/car-
bidopa [Sinemet]. After several months of therapy, the
patient reports no change in symptoms. The nurse will
expect the provider to:
3. A patient with Parkinson's disease is taking lev- administering a
odopa/carbidopa [Sinemet] and reports occasional catechol-O-methyltrans-
periods of loss of drug effect lasting from minutes to ferase (COMT) inhibitor,
several hours. The nurse questions the patient further such as entacapone.
and discovers that these episodes occur at different
times related to the medication administration. The
nurse will contact the provider to discuss:
4. A patient newly diagnosed with Parkinson's disease Taking a lower dose with a
has been taking levodopa/carbidopa [Sinemet] for low-protein snack
several weeks and complains of nausea and vomiting.
The nurse tells the patient to discuss what with the
provider?
5. A nurse is discussing motor symptoms with a pa- "I may need to try a lower
tient with Parkinson's disease who has been taking dose of Sinemet to reduce
levodopa/carbidopa [Sinemet] for 9 months and who my tics."
is now having regular tics. Which statement by the
patient indicates understanding of this symptom?
6. A patient who has begun taking levodopa/carbidopa Increasing salt and water
[Sinemet] reports feeling lightheaded and dizzy, espe- intake
, Patho Final
Study online at https://quizlet.com/_6hwb6m
cially when standing up from a sitting position. What
will the nurse recommend?
7. A nursing student wants to know why a patient who "Combination products
has been taking levodopa [Dopar] for years will now cause fewer dyskine-
receive levodopa/carbidopa [Sinemet]. The nurse ex- sias and decreased psy-
plains the reasons that levodopa as a single agent is chosis."
no longer available. Which statement by the student
indicates a need for further education?
8. A nurse is teaching a group of nurses about Parkin- sleep attacks.
son's medications. The nurse is correct to state that
one side effect associated with pramipexole [Mirapex]
that is less likely to occur with other dopamine ago-
nists is:
9. A nursing student wants to know how carbidopa can does not cross the
be effective for treating Parkinson's disease if it pre- blood-brain barrier.
vents the conversion of levodopa to dopamine. The
nurse explains that carbidopa:
10. A 25-year-old patient has been newly diagnosed with any history of alcohol
Parkinson's disease, and the prescriber is considering abuse or compulsive be-
using pramipexole [Mirapex]. Before beginning thera- haviors.
py with this drug, the nurse will ask the patient about:
11. A hospitalized patient with Parkinson's disease who is Trimethobenzamide
receiving apomorphine to treat "off" episodes devel- [Tigan]
ops nausea and vomiting. The nurse will discuss the
use of which medication with the patient's provider?
12. A patient with Parkinson's disease is taking lev- reducing the dose of
odopa/carbidopa [Sinemet]. The prescriber orders bromocriptine.
, Patho Final
Study online at https://quizlet.com/_6hwb6m
bromocriptine [Parlodel] to treat dyskinesias. The
nurse notes that the patient is agitated, and the pa-
tient reports having frequent nightmares. The nurse
will contact the provider to discuss:
13. A patient who is newly diagnosed with Parkinson's dis- "While some drugs show
ease is prescribed levodopa [Dopar]. The patient asks promise, there are no
the nurse about drugs to prevent disease progression. studies that have proven a
What will the nurse tell this patient? neuroprotective effect."
14. The nurse provides teaching for a patient who will "If you need to stop this
begin taking rotigotine [Neupro] to treat Parkinson's drug, your provider will
disease. What will the nurse include in teaching? order a gradual withdraw-
al."
15. A patient with Parkinson's disease is taking lev- Interrupting treatment
odopa/carbidopa [Sinemet] along with amantadine with amantadine for sev-
[Symmetrel] 400 mg/day to treat dyskinesias. The eral weeks
patient reports having increased dyskinesias several
months after beginning the amantadine. The nurse
will contact the provider to discuss which action?
16. A 10-year-old female was brought to the ER follow- seizure
ing a sudden onset of convulsions. The primary care
provider thinks that she experienced an explosive, dis-
orderly discharge of neurons referred to as:
17. A 39 y/o male suffers a severe brain injury when he meningeal infection
falls off a building while working. CT scan reveals that
he has a basilar skull fractures. One major concern for
this pt is:
18. Aura
Study online at https://quizlet.com/_6hwb6m
1. A nurse provides teaching for a patient who is newly "A levodopa/carbidopa
diagnosed with Parkinson's disease. Which statement combination is used to
by the patient indicates understanding of the drug improve motor function."
therapy for this disease?
2. A patient has been diagnosed with Parkinson's dis- re-evaluate the diagnosis.
ease (PD) and begins treatment with levodopa/car-
bidopa [Sinemet]. After several months of therapy, the
patient reports no change in symptoms. The nurse will
expect the provider to:
3. A patient with Parkinson's disease is taking lev- administering a
odopa/carbidopa [Sinemet] and reports occasional catechol-O-methyltrans-
periods of loss of drug effect lasting from minutes to ferase (COMT) inhibitor,
several hours. The nurse questions the patient further such as entacapone.
and discovers that these episodes occur at different
times related to the medication administration. The
nurse will contact the provider to discuss:
4. A patient newly diagnosed with Parkinson's disease Taking a lower dose with a
has been taking levodopa/carbidopa [Sinemet] for low-protein snack
several weeks and complains of nausea and vomiting.
The nurse tells the patient to discuss what with the
provider?
5. A nurse is discussing motor symptoms with a pa- "I may need to try a lower
tient with Parkinson's disease who has been taking dose of Sinemet to reduce
levodopa/carbidopa [Sinemet] for 9 months and who my tics."
is now having regular tics. Which statement by the
patient indicates understanding of this symptom?
6. A patient who has begun taking levodopa/carbidopa Increasing salt and water
[Sinemet] reports feeling lightheaded and dizzy, espe- intake
, Patho Final
Study online at https://quizlet.com/_6hwb6m
cially when standing up from a sitting position. What
will the nurse recommend?
7. A nursing student wants to know why a patient who "Combination products
has been taking levodopa [Dopar] for years will now cause fewer dyskine-
receive levodopa/carbidopa [Sinemet]. The nurse ex- sias and decreased psy-
plains the reasons that levodopa as a single agent is chosis."
no longer available. Which statement by the student
indicates a need for further education?
8. A nurse is teaching a group of nurses about Parkin- sleep attacks.
son's medications. The nurse is correct to state that
one side effect associated with pramipexole [Mirapex]
that is less likely to occur with other dopamine ago-
nists is:
9. A nursing student wants to know how carbidopa can does not cross the
be effective for treating Parkinson's disease if it pre- blood-brain barrier.
vents the conversion of levodopa to dopamine. The
nurse explains that carbidopa:
10. A 25-year-old patient has been newly diagnosed with any history of alcohol
Parkinson's disease, and the prescriber is considering abuse or compulsive be-
using pramipexole [Mirapex]. Before beginning thera- haviors.
py with this drug, the nurse will ask the patient about:
11. A hospitalized patient with Parkinson's disease who is Trimethobenzamide
receiving apomorphine to treat "off" episodes devel- [Tigan]
ops nausea and vomiting. The nurse will discuss the
use of which medication with the patient's provider?
12. A patient with Parkinson's disease is taking lev- reducing the dose of
odopa/carbidopa [Sinemet]. The prescriber orders bromocriptine.
, Patho Final
Study online at https://quizlet.com/_6hwb6m
bromocriptine [Parlodel] to treat dyskinesias. The
nurse notes that the patient is agitated, and the pa-
tient reports having frequent nightmares. The nurse
will contact the provider to discuss:
13. A patient who is newly diagnosed with Parkinson's dis- "While some drugs show
ease is prescribed levodopa [Dopar]. The patient asks promise, there are no
the nurse about drugs to prevent disease progression. studies that have proven a
What will the nurse tell this patient? neuroprotective effect."
14. The nurse provides teaching for a patient who will "If you need to stop this
begin taking rotigotine [Neupro] to treat Parkinson's drug, your provider will
disease. What will the nurse include in teaching? order a gradual withdraw-
al."
15. A patient with Parkinson's disease is taking lev- Interrupting treatment
odopa/carbidopa [Sinemet] along with amantadine with amantadine for sev-
[Symmetrel] 400 mg/day to treat dyskinesias. The eral weeks
patient reports having increased dyskinesias several
months after beginning the amantadine. The nurse
will contact the provider to discuss which action?
16. A 10-year-old female was brought to the ER follow- seizure
ing a sudden onset of convulsions. The primary care
provider thinks that she experienced an explosive, dis-
orderly discharge of neurons referred to as:
17. A 39 y/o male suffers a severe brain injury when he meningeal infection
falls off a building while working. CT scan reveals that
he has a basilar skull fractures. One major concern for
this pt is:
18. Aura
