Answer to Question 1
ANS: C
A consistent increase in respirations should most concern the nurse, because bromocriptine can cause pulmonary infiltrates.
Bromocriptine does not cause an increase in urine output.
Nightmares and agitation may occur, but the increase in respirations should cause the most concern, because pulmonary infiltrates may lead to congestive heart failure.
Swelling and redness in the feet are important but rare side effects They are not as notable as a consistent increase in respirations.
Answer to Question 2
ANS: D
Cimetidine can inhibit renal excretion of pramipexole, resulting in an increase in the drug's blood level. The patient needs further teaching, because he will not see an improvement in dyskinesias, but rather, more dyskinesias.
Cimetidine should be taken at least 1 hour prior to any other medications; no further teaching is needed.
Postural hypotension is common in patients taking levodopa and pramipexole; no further teaching is indicated.
This patient will experience an increase in dyskinesias; no further teaching is needed.
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