This topic contains a solution. Click here to go to the answer

Author Question: A patient with Parkinson's disease is taking levodopa/carbidopa (Sinemet). The prescriber orders ... (Read 70 times)

DelorasTo

  • Hero Member
  • *****
  • Posts: 548
A patient with Parkinson's disease is taking levodopa/carbidopa (Sinemet). The prescriber orders bromocriptine (Parlodel) to treat dyskinesias.
 
  The nurse notes that the patient is agitated, and the patient reports having frequent nightmares. The nurse will contact the provider to discuss:
  a. adding an antipsychotic medication.
  b. changing from bromocriptine to cabergoline (Dostinex).
  c. reducing the dose of bromocriptine.
  d. reducing the dose of levodopa/carbidopa.

Question 2

A 25-year-old patient has been newly diagnosed with Parkinson's disease, and the prescriber is considering using pramipexole (Mirapex). Before beginning therapy with this drug, the nurse will ask the patient about:
 
  a. any history of alcohol abuse or compulsive behaviors.
  b. any previous history of hypertension.
  c. difficulty falling asleep or staying asleep.
  d. whether any family members have experienced psychoses.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

adammoses97

  • Sr. Member
  • ****
  • Posts: 337
Answer to Question 1

ANS: C
Bromocriptine is used to treat levodopa-induced dyskinesias and has dose-dependent psychologic side effects. The nurse should suggest reducing the dose of this drug to minimize these side effects. Adding an antipsychotic medication is not indicated. Cabergoline is not approved for this use. Reducing the dose of levodopa/carbidopa is not indicated.

Answer to Question 2

ANS: A
Pramipexole has been associated with impulse control disorders, and this risk increases in patients with a history of alcohol abuse or compulsive behaviors. Pramipexole increases the risk of hypotension and sleep attacks, so a history of hypertension or insomnia would not be cautionary. Unlike with levodopa, the risk of psychoses is not increased.




DelorasTo

  • Member
  • Posts: 548
Reply 2 on: Jul 23, 2018
Gracias!


lcapri7

  • Member
  • Posts: 350
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

In 1844, Charles Goodyear obtained the first patent for a rubber condom.

For a complete list of videos, visit our video library