Author Question: A nurse is caring for a client who requires antiparkinson drug therapy. The nurse confirms that ... (Read 73 times)

xroflmao · **on:** Jul 23, 2018

A nurse is caring for a client who requires antiparkinson drug therapy. The nurse confirms that which of the following conditions is absent because it would contraindicate the use of the COMT inhibitor?

A) Pregnancy
B) Achalasia
C) Peptic ulcers
D) Glaucoma

Question 2

A nurse is caring for a 70-year-old client undergoing antiparkinsonism drug therapy. The client is prescribed pramipexole by the physician.

The nurse should monitor the client's condition for the development of which of the following adverse reactions associated with the use of this drug?

A) Blurred vision
B) Memory loss
C) Visual hallucinations
D) Muscular rigidity

emilymalinowski12 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Feedback:
The nurse should confirm that the client is not pregnant or lactating and that the client does not have a hypersensitivity to the drug to ensure that the use of COMT inhibitors is not contraindicated. Achalasia, peptic ulcers, and glaucoma are not conditions that are contraindications to the use of COMT inhibitors. The use of cholinergic blocking drugs is contraindicated in clients with achalasia, peptic ulcers, and glaucoma.

Answer to Question 2

Ans: C
Feedback:
The nurse should monitor the elderly client who is administered a dopamine receptor antagonist for signs of visual, auditory, or tactile hallucinations. Hallucinations occur more often in older adults than in younger adults receiving the antiparkinsonism drugs, especially when taking the dopamine receptor agonists. The incidence of hallucinations appears to increase with age. The nurse need not monitor the client's condition for signs of blurred vision, memory loss, and muscular rigidity as these conditions are not known to occur in elderly clients due to the use of dopamine receptor agonists.