ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 15 : Antiparkinson Drugs Questions
Question 1 of 5
A patient has been taking selegiline for a few months, and recently the prescriber increased his dose to 20 mg/day. Today, during his office visit, he tells the nurse that he forgot and had a beer with dinner last evening, and 'felt awful.' What did the patient most likely experience?
Correct Answer: B
Rationale: At doses above 10 mg/day, selegiline becomes a nonselective MAOI, interacting with tyramine-containing foods like beer, leading to severe hypertension (cheese effect). Hypotension, urinary discomfort, and gastrointestinal upset are less likely.
Question 2 of 5
A patient has been given a prescription for carbidopa-levodopa for a new diagnosis of Parkinson's disease. The patient asks the nurse, 'Why are there two drugs in this pill?' The nurse's best response reflects which fact?
Correct Answer: B
Rationale: Carbidopa inhibits peripheral breakdown of levodopa, increasing its availability to the CNS and allowing lower doses with fewer side effects. Carbidopa is not a dopamine precursor, and the combination does not eliminate drug-food interactions.
Question 3 of 5
When a patient is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?
Correct Answer: D
Rationale: Anticholinergics like benztropine cause dry mouth, which can be managed with artificial saliva, sugarless gum, or hard candy. Patients should increase fluid intake to prevent constipation and dehydration, take the drug with meals to reduce GI upset, and avoid abrupt discontinuation.
Question 4 of 5
A patient has been treated with antiparkinson medications for 3 months. What therapeutic responses should the nurse look for when assessing this patient?
Correct Answer: D
Rationale: Therapeutic effects of antiparkinson drugs include improved ability to perform daily activities, better mental status, and reduced parkinsonian symptoms. Decreased appetite and cogwheel rigidity are not therapeutic, and dyskinesias are adverse effects.
Question 5 of 5
Carbidopa-levodopa is prescribed for a patient with Parkinson's disease. The nurse informs the patient that which common adverse effects can occur with this medication?
Correct Answer: D
Rationale: Common adverse effects of carbidopa-levodopa include palpitations, hypotension, urinary retention, dyskinesias, and depression. The other options list effects more associated with other antiparkinson drugs.