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Chapter 20 Drugs for Parkinson Disease and Alzheimer Disease Questions &Exam (elaborations) answers 100% satisfaction guarantee

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  • 11 augustus 2024
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  • 2024/2025
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STUVIA 2024/2025
Chapter 20: Drugs for Parkinson Disease and
Alzheimer Disease
ANS: A

AD is chronic and progressive, and there is no cure. It affects memory and personality. The onset is
usually between 45 and 65 years. Symptoms cannot be arrested but may be slowed with treatment. -
✔✔The nurse is providing teaching for the family of a patient who has been newly diagnosed with
Alzheimer disease (AD). Which statement by the family member indicates understanding of the
teaching?
a. "Alzheimer disease is a chronic, progressive condition."
b. "Alzheimer disease affects memory but not personality."
c. "The onset of Alzheimer disease is usually between 65 and 75 years."
d. "With proper treatment, symptoms of this disease can be arrested."

ANS: A

Selegiline (Eldepryl) inhibits monoamine oxidase-B, and it has similar adverse reactions to other
monoamine oxidase inhibitors. Patients should be cautioned against consuming foods containing high
%


amounts of tyramine because of the risk of hypertensive crisis. Red wine is high in tyramine. Use of
this drug may delay, but will not prevent, the need for levodopa. Severe adverse drug interactions
may occur between this drug and tricyclic antidepressants. - ✔✔A patient who has parkinsonism will
begin taking selegiline HCl (Eldepryl) to treat symptoms. What information will the nurse include when
teaching this patient about this drug?
a. "Avoid consuming foods that are high in tyramine."
b. "This drug will prevent the need to take levodopa."
c. "You may have red wine with dinner."
d. "You will not have serious drug interactions with this drug."

ANS: A

This patient is exhibiting signs of Parkinson disease and should be treated with a medication
indicated to treat Parkinson disease such as carbidopa-levodopa. The other drugs are used to treat
Alzheimer disease. - ✔✔An older patient exhibits a shuffling gait, lack of facial expression, and
tremors at rest. The nurse will expect the provider to order which medication for this patient?
a. Carbidopa-levodopa (Sinemet)
b. Donepezil (Aricept)
c. Rivastigmine (Exelon)
d. Tacrine (Cognex)


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, STUVIA 2024/2025

ANS: B

Amantadine is an antiviral drug that acts on dopamine receptors and is sometimes used to treat
Parkinson disease (PD). The other drugs listed do not work to improve the symptoms of PD. -
✔✔Which antiviral medication improves symptoms of Parkinson disease in some patients?
a. Acyclovir (Zovirax)
b. Amantadine HCl (Symmetrel)
c. Interferon (INF)
d. Zanamivir (Relenza)

ANS: B

Carbidopa-levodopa can cause orthostatic hypotension, so patients should be taught to take care
when getting out of bed or a chair. Darkening of the urine and perspiration is a harmless side effect.
Patients should take the drug with low-protein foods to improve drug transport to the CNS.
Carbidopa-levodopa should not be discontinued abruptly because rebound parkinsonism may occur;
insomnia is an expected adverse effect of the drug, and the patient should report this effect to his or
her health care provider. - ✔✔A patient who has parkinsonism will begin taking carbidopa-levodopa.
What information will the nurse include when teaching this patient about this medication?
%

a. "Call your health care provider immediately if your urine or perspiration turn a dark color."
b. "Rise slowly from your bed or your chair to avoid dizziness and falls."
c. "Take the drug with foods high in protein to improve drug delivery."
d. "Discontinue the drug if you experience insomnia."

ANS: B

Entacapone can cause the urine to be dark yellow to orange. It does not indicate drug toxicity, liver
effects, or changes in renal function. - ✔✔A patient is taking entacapone (Comtan) along with
carbidopa-levodopa to treat parkinsonism. The nurse notes that the patient's urine is orange in color.
The nurse will
a. notify the provider of possible drug toxicity.
b. reassure the patent that this is a harmless side effect.
c. request an order for liver function tests.
d. request an order for a urinalysis.

ANS: B

Patients taking rivastigmine for Alzheimer disease are at risk for orthostatic hypotension, falls, and
loss of balance. Caregivers should assist with standing and walking. The drug is taken twice daily,


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