Question 1

The nurse provides instruction to a client who is prescribed levodopa/carbidopa (Parcopa).Which client statement indicates that learning has occurred?

Accepted Answer

Levodopa/carbidopa's effectiveness can be reduced by certain nutrients, particularly those high in vitamin B6 (found in beef, whole-grain cereals, and some multivitamins), which can increase the peripheral metabolism of levodopa, reducing the amount available to the brain. This is why avoiding such foods is recommended to ensure the medication's efficacy.

Question 2

A client tells the nurse about using different" drugs to treat the symptoms associated with mild Alzheimer disease.For which drugs should the nurse assess the client?
Select all that apply.

Accepted Answer

The answer of A client tells the nurse about using...

Question 3

The nurse observes a client with Parkinson disease having difficulty controlling hand movements.What did the nurse observe in this client?
Select all that apply.

Accepted Answer

Pill rolling and tremors are common motor symptoms of Parkinson's disease, and can cause difficulty in controlling hand movements. Stooped posture, lack of arm swing, and difficulty bending the arms are also motor symptoms of Parkinson's disease, but they do not specifically indicate difficulty in controlling hand movements.

Question 4

A client with Parkinson disease develops depression.What education would the nurse provide to the client's family?

Accepted Answer

Parkinson disease is often accompanied by depression. Therefore, the nurse should educate the family that this is a common problem that can occur with this disease. This will help the family to understand that depression is not their loved one's fault and that it is a natural part of the disease.

Question 5

A client takes an aspirin,a multivitamin,and an antihistamine every day.What is the most important instruction by the nurse when the client is prescribed levodopa/carbidopa (Parcopa)?

Accepted Answer

Levodopa/carbidopa (Parcopa) should not be taken with a multivitamin containing iron, as the iron can inhibit absorption of the medication. The antihistamine and aspirin do not interact significantly with levodopa/carbidopa (Parcopa).

Question 6

The nurse is teaching a class for caregivers of clients with Alzheimer disease.The nurse determines that learning has occurred when a caregiver makes which statement?

Accepted Answer

This statement shows an understanding that there are drugs available to help decrease the symptoms of Alzheimer disease for a period of time. It shows that the caregiver has learned about the available treatment options. None of the other statements are completely accurate or show a full understanding of the topic.

Question 7

Which strategies can the nurse teach the family of a client with Alzheimer disease to ensure an adequate nutritional and fluid intake?
Select all that apply.

Accepted Answer

The answer of Which strategies can the nurse teach the...

Question 8

A client with Parkinson disease is experiencing an increase in bradykinesia.What will the client demonstrate with this manifestation?
Select all that apply.

Accepted Answer

Bradykinesia is a slowness of movement. It can affect any part of the body, including the face, arms, legs, and trunk. In Parkinson's disease, bradykinesia is often one of the first symptoms to appear. It can make it difficult to perform everyday tasks, such as eating, dressing, and walking.

Question 9

A client with amyotrophic lateral sclerosis is prescribed riluzole (Rilutek).What will the nurse instruct the client about this medication?
Select all that apply.

Accepted Answer

The answer of A client with amyotrophic lateral sclerosis is...

Question 10

A client who is prescribed benztropine (Cogentin)tells the nurse about plans for a Caribbean cruise.What should the nurse include during client teaching?

Accepted Answer

Benztropine (Cogentin) is used to treat Parkinson's disease and other movement disorders. It can cause drowsiness, dizziness, and impair judgement or coordination. Therefore, it should be avoided with alcohol which can intensify these effects. Taking a multivitamin, missing a dose, or limiting activity are not specific to the use of benztropine and do not address its potential interactions with other substances.

Question 11

The spouse of a client with Alzheimer disease tells the nurse that the health care provider said that a cause of the disorder is brain damage.The spouse wants to know what type of brain damage could have occurred to the client.What possible causes of brain damage can the nurse explain to the spouse?
Select all that apply.

Accepted Answer

Environmental exposure, nutritional imbalances, and exposure to viruses are all possible causes of brain damage that can contribute to the development of Alzheimer's disease. Acetylcholine deficiency and a defect in chromosome 14 are also factors in the development of Alzheimer's disease but were not asked for in the question.

Question 12

Prior to administering galantamine (Reminyl)to a client with Alzheimer disease,the nurse reviews the client's medical history for which disease processes?
Select all that apply.

Accepted Answer

The answer of Prior to administering galantamine (Reminyl)to a client...

Question 13

The nurse is providing care to a client who is diagnosed with multiple sclerosis.When teaching the client about the medication therapy,which goals will the nurse include?
Select all that apply.

Accepted Answer

There is currently no cure for multiple sclerosis, so the goal of medication therapy is to modify the progression of the disease, treat acute exacerbations, and manage symptoms. Although some medications may have the potential to promote remyelination, it is not a guaranteed or primary goal of medication therapy for MS.

Question 14

A client is diagnosed with multiple sclerosis.Which symptoms will the nurse most likely assess in this client?
Select all that apply.

Accepted Answer

Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, leading to symptoms such as muscle weakness and difficulty maintaining balance due to demyelination and nerve damage. Atrophy of the hands and legs, slow shuffling gait, and progressive chorea are not typical primary symptoms of MS, but rather can be associated with other neurological conditions.

Question 15

The nurse is caring for a client in the middle phase of Alzheimer disease.Which symptoms is the client most likely to demonstrate?
Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 16

During a health history the nurse is concerned that a client is at risk for developing secondary Parkinson disease because of which information?
Select all that apply.

Accepted Answer

Secondary Parkinson disease can be caused by a variety of factors, including head trauma (such as concussions), certain infections (such as meningitis), and exposure to certain toxins (such as those used in crop dusting). Waiting tables and scuba diving do not increase the risk of developing secondary Parkinson disease.

Question 17

The nurse is planning care for a client with Parkinson disease.What intervention is important for the nurse to include?

Accepted Answer

Monitoring the client's ability to chew and eat is important for the nurse to include in care for a client with Parkinson disease. Parkinson disease can affect the muscles used for chewing and swallowing, leading to difficulty in these functions. Therefore, the nurse must assess for any problems the client may have with these activities and provide appropriate interventions to ensure adequate nutrition and hydration.

Question 18

Prior to administering donepezil (Aricept)to a client diagnosed with Alzheimer disease,the nurse notes that the client is prescribed medications that will react with this drug.Which medications interact with donepezil (Aricept)?
Select all that apply.

Accepted Answer

Phenytoin and rifampin can decrease the effectiveness of donepezil by increasing its metabolism. Quinidine can increase the levels of donepezil by inhibiting its metabolism. Penicillin and aspirin do not have significant interactions with donepezil.

Question 19

An older client is receiving levodopa/carbidopa (Parcopa).Which side effect of the medication would cause the nurse the most concern?

Accepted Answer

Urinary retention is a serious side effect of levodopa/carbidopa as it can lead to urinary tract infections and other complications. Hypertension, dark urine, and diarrhea are common side effects that do not pose as significant of a concern.

Question 20

The client is prescribed tacrine (Cognex)as treatment for Alzheimer disease.Which laboratory test would the nurse monitor?

Accepted Answer

Tacrine (Cognex) can cause liver toxicity, so the nurse should monitor liver function tests to detect any potential liver damage. This is especially important in elderly patients who may be more sensitive to medication side effects. Renal function tests, serum amylase levels, and complete blood counts are not typically affected by tacrine.

Quiz 21: Pharmacotherapy of Degenerative Diseases of the Central Nervous System

The nurse provides instruction to a client who is prescribed levodopa/carbidopa (Parcopa) .Which client statement indicates that learning has occurred?

A client tells the nurse about using different" drugs to treat the symptoms associated with mild Alzheimer disease.For which drugs should the nurse assess the client? Select all that apply.

The nurse observes a client with Parkinson disease having difficulty controlling hand movements.What did the nurse observe in this client? Select all that apply.

A client with Parkinson disease develops depression.What education would the nurse provide to the client's family?

A client takes an aspirin,a multivitamin,and an antihistamine every day.What is the most important instruction by the nurse when the client is prescribed levodopa/carbidopa (Parcopa) ?

The nurse is teaching a class for caregivers of clients with Alzheimer disease.The nurse determines that learning has occurred when a caregiver makes which statement?

Which strategies can the nurse teach the family of a client with Alzheimer disease to ensure an adequate nutritional and fluid intake? Select all that apply.

A client with Parkinson disease is experiencing an increase in bradykinesia.What will the client demonstrate with this manifestation? Select all that apply.

A client with amyotrophic lateral sclerosis is prescribed riluzole (Rilutek) .What will the nurse instruct the client about this medication? Select all that apply.

A client who is prescribed benztropine (Cogentin) tells the nurse about plans for a Caribbean cruise.What should the nurse include during client teaching?

Prior to administering galantamine (Reminyl) to a client with Alzheimer disease,the nurse reviews the client's medical history for which disease processes? Select all that apply.

The nurse is providing care to a client who is diagnosed with multiple sclerosis.When teaching the client about the medication therapy,which goals will the nurse include? Select all that apply.

A client is diagnosed with multiple sclerosis.Which symptoms will the nurse most likely assess in this client? Select all that apply.

The nurse is caring for a client in the middle phase of Alzheimer disease.Which symptoms is the client most likely to demonstrate? Select all that apply.

During a health history the nurse is concerned that a client is at risk for developing secondary Parkinson disease because of which information? Select all that apply.

The nurse is planning care for a client with Parkinson disease.What intervention is important for the nurse to include?

Prior to administering donepezil (Aricept) to a client diagnosed with Alzheimer disease,the nurse notes that the client is prescribed medications that will react with this drug.Which medications interact with donepezil (Aricept) ? Select all that apply.

An older client is receiving levodopa/carbidopa (Parcopa) .Which side effect of the medication would cause the nurse the most concern?

The client is prescribed tacrine (Cognex) as treatment for Alzheimer disease.Which laboratory test would the nurse monitor?