1. A patient has been taking benztropine (Cogentin). Which outcome assessment helps the
nurse verify therapeutic effects of this medication?
A. Patient is unable to talk.
B. Patient has had a decrease in tremors.
C. Patient can sit up unassisted.
D. Patient has an increased heart rate. - ANS B. Patient has had a decrease in tremors
2. The nurse is teaching the patient being treated with an anticholinergic about dietary changes
that might be necessary. What is the highest priority instruction for the patient?
A. "Do not drink milk while on this medication."
B. "Increase your intake of fatty foods while on this therapy."
C. "Do not eat carbohydrates with this medication."
D. "Increase your intake of fluids while on this medication." - ANS D. "Increase your intake of
fluids while on this medication."
3. The nurse is developing a teaching plan for a patient prescribed carbidopa-levodopa
(Sinemet). What information does the nurse use as a basis for the teaching plan?
A. Carbidopa decreases levodopa's conversion in the periphery, increasing the amount of
levodopa available to cross the blood-brain barrier.
B. Carbidopa increases levodopa's conversion in the periphery, enhancing the amount of
dopamine available to the brain.
C. Giving both drugs together minimizes side effects.
D. Carbidopa crosses the blood-brain barrier to increase the metabolism of levodopa to
dopamine in the brain. - ANS A. Carbidopa decreases levodopa's conversion in the periphery,
increasing the amount of levodopa available to cross the blood-brain barrier
4. The patient is currently on a treatment regimen that includes selegiline (Eldepryl) therapy.
What information is most important for the nurse to teach the patient about this medication?
A. "This medication will cure your disease."
B. "This medication is used when other drugs do not work."
C. "This medication blocks breakdown of dopamine."
D. "You will need to restrict your intake of certain foods and drinks." - ANS D. "You will need to
restrict your intake of certain foods and drinks."
5. The patient asks the nurse to explain the difference between carbidopa-levodopa (Sinemet)
and ropinirole (Requip). The nurse's best response is based on understanding that
A. ropinirole is a dopamine agonist that has fewer side effects than carbidopa-levodopa.
B. carbidopa-levodopa is less effective than ropinirole in treating the symptoms of Parkinson's
disease.
C. both drugs have the same pharmacodynamic and side effect profiles.
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