This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with Parkinsonism has been told that the levodopa prescribed is no longer controlling the ... (Read 56 times)

imanialler

  • Hero Member
  • *****
  • Posts: 539
on: Jul 23, 2018
A patient with Parkinsonism has been told that the levodopa prescribed is no longer controlling the disease. What drug would the nurse question if ordered as adjunctive therapy?
 
  A) Diphenhydramine (Benadryl)
  B) Pramipexole (Mirapex)
  C) Trihexyphenidyl (Artane)
  D) Vitamin B6

Question 2

The nurse is caring for an obese child with hypertension and slightly elevated serum glucose levels. What would the nurse anticipate will be ordered if lifestyle changes do not return blood pressure to an acceptable limit?
 
  A) Lifestyle changes
  B) Mild diuretic
  C) Calcium channel blocker.
  D) Beta-blocker


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

durant1234

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Feedback:
Vitamin B6 would further decrease the therapeutic effects of levodopa and is contraindicated with levodopa, so the nurse would question this order. Pramipexole, diphenhydramine, and trihexyphenidyl are all useful adjunctive drugs when Parkinson's disease is no longer controlled with levodopa therapy alone.

Answer to Question 2

B
Feedback:
Lifestyle changes should be instituted before drug therapy if at all possible. If drug therapy is used, a mild diuretic may be tried first, with monitoring of blood glucose and electrolyte levels on a regular basis. Calcium channel blockers have been used to treat hypertension in children and may be among the first considerations if drug therapy other than mild diuretics is needed. Beta-blockers have been used with success in some children; adverse effects may limit their usefulness in others. The safety and efficacy of the angiotensin-converting-enzyme (ACE) inhibitors and the angiotensin-receptor blockers (ARBs) have not been established in children.


imanialler

  • Hero Member
  • *****
  • Posts: 539
Reply #2 on: Jul 23, 2018
Thank you!


durant1234

  • Sr. Member
  • ****
  • Posts: 338
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Patient receiving ultrasound treatment to the left elbow. Patient receiving ultrasound treatment to the left elbow.
Providing patient education Providing patient education
Preparing the Patient’s Skin for Surgical Procedures Preparing the Patient’s Skin for Surgical Procedures
The patient is placed between the X-ray tube, which emits a cone-shaped X-ray beam, and the film or ... The patient is placed between the X-ray tube, which emits a cone-shaped X-ray beam, and the film or ...
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)
Video: Causes of Angina

For a complete list of videos, visit our video library