ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 15 : Antiparkinson Drugs Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is assessing the medication history of a patient with a new diagnosis of Parkinson's disease. Which condition is a contraindication for the patient, who will be taking entacapone?
Correct Answer: C
Rationale: Entacapone is contraindicated in liver failure due to its hepatic metabolism, which could lead to toxicity. Glaucoma, seizure disorders, and benign prostatic hyperplasia are not absolute contraindications for entacapone.
Question 4 of 5
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?
Correct Answer: B
Rationale: Anticholinergic drugs like benztropine can cause urinary retention and constipation, making altered urinary elimination the appropriate human needs statement. Diarrhea, infection risk, and sleep needs are not typically affected.
Question 5 of 5
A patient who has been on levodopa therapy for a year has a new order for a catechol ortho-methyltransferase (COMT) inhibitor as part of treatment for Parkinson's disease. The nurse recognizes that which of these is an advantage of this drug class?
Correct Answer: D
Rationale: COMT inhibitors like entacapone extend levodopa's duration, reducing the wearing-off phenomenon. They do not have a shorter duration, less GI distress, or slower onset compared to other antiparkinson drugs.