Nokea
A nurse is teaching a client who has a new prescription for Levodopa/Carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
- A. Increase intake of protein-rich foods.
- B. Expect muscle twitching to occur.
- C. Take this medication with food.
- D. Anticipate relief of manifestations in 24 h
Correct Answer: C
Rationale: Taking with food reduces nausea, a common side effect; protein can interfere with absorption.
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David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes:
- A. He should not wear his soft contacts while using the cromolyn eye drops
- B. Cromolyn drops are instilled once a day to prevent allergy symptoms
- C. Long-term use may cause glaucoma
- D. He may experience bradycardia as an adverse effect
Correct Answer: A
Rationale: Cromolyn can irritate soft contacts, requiring removal; it's not once daily or linked to glaucoma .
A patient who has AIDS is at risk to contract aspergillosis. The nurse will anticipate that which antifungal medication will be ordered prophylactically for this patient?
- A. Metronidazole (Flagyl)
- B. Micafungin (Mycamine)
- C. Posaconazole (Noxafil)
- D. Voriconazole (Vfend)
Correct Answer: C
Rationale: Posaconazole prevents Aspergillus in AIDS; micafungin or voriconazole treat, not prevent. Posaconazole is given for prophylactic treatment of Aspergillus and Candida infections.
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider?
- A. Serum Sodium 144 mEq/L
- B. Urine output 120 mL in 4 hr
- C. Serum Potassium 5.2 mEq/L
- D. Blood Pressure 140/90 mm Hg
Correct Answer: C
Rationale: Hyperkalemia (5.2 mEq/L, C) is a serious side effect of spironolactone, a potassium-sparing diuretic.
Drug of choice in motion sickness is
- A. Metoclopramide
- B. Transdermal scopalamine
- C. Diphenhydramine
- D. Chlorpromazine
Correct Answer: B
Rationale: Transdermal scopolamine is the drug of choice for motion sickness.
Which of the following drugs should be avoided in a pregnant woman because of a risk of harming the fetus?
- A. Pravastatin
- B. Cholestyramine
- C. Gemfibrozil
- D. Niacin
Correct Answer: A
Rationale: Statins like pravastatin are contraindicated in pregnancy due to potential teratogenic effects.