Author Question: An older client is receiving levodopa/carbidopa (Parcopa). Which side effect of the medication would ... (Read 32 times)

mwit1967 · **on:** Jul 23, 2018

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

1. Hypertension
2. Dark urine
3. Urinary retention
4. Diarrhea

Question 2

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

Standard Text: Select all that apply.
1. Muscle weakness
2. Difficulty maintaining balance
3. Atrophy of the hands and legs
4. Slow shuffling gait
5. Progressive chorea

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Hypotension is a possible side effect of this medication.
Rationale 2: Dark urine is a normal finding associated with this medication.
Rationale 3: Urinary retention is related to the anticholinergic effects of the medication and must be reported to the health care provider.
Rationale 4: Diarrhea is not a side effect of this medication.
Global Rationale: Urinary retention is related to the anticholinergic effects of the medication and must be reported to the health care provider. Hypotension is a possible side effect of this medication, but would not cause the most concern. Dark urine is a normal finding associated with this medication. Diarrhea is not a side effect of this medication.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Muscle weakness is a manifestation of multiple sclerosis.
Rationale 2: Difficulty maintaining balance is a manifestation of multiple sclerosis.
Rationale 3: Atrophy of the hands and legs is not a manifestation of multiple sclerosis.
Rationale 4: A slow shuffling gait is not a manifestation of multiple sclerosis.
Rationale 5: Progressive chorea is not a manifestation of multiple sclerosis.
Global Rationale: Muscle weakness and difficulty maintaining balance are manifestations of multiple sclerosis. Atrophy of the hands and legs, a slow shuffling gait, and progressive chorea are not manifestations of multiple sclerosis.