Answer to Question 1
Ans: C
Feedback:
A serious and potentially fatal adverse reaction to tolcapone is hepatic injury. The nurse should, therefore, perform regular blood testing to monitor liver function of the client as prescribed. The testing of serum transaminase levels may be ordered at frequent intervals such as every 2 weeks for the first year and every 8 weeks thereafter. The nurse need not perform serum transaminase level testing every day. The nurse should monitor for signs of dystonic movements when caring for a client receiving carbidopa and levodopa, not tolcapone. The nurse should monitor for signs of tactile hallucinations when caring for an elderly client receiving tolcapone.
Answer to Question 2
Ans: A
Feedback:
The nurse should assess for confusion and disorientation when caring for this elderly client receiving anticholinergic drug therapy. Individuals older than 60 years frequently develop increased sensitivity to anticholinergic drugs and require careful monitoring. Lower doses may also be required in such cases. Choreiform movements, suicidal tendencies, and psychotic episodes are serious adverse reactions associated with the use of levodopa, which is a dopaminergic drug.
History of the number of observed sunspots during the last 250 years, which shows the ~11-year solar
First-pass effect: (a) drugs are absorbed; (b) drugs enter hepatic portal circulation and go directl
Nursing care plan - risk for infection
Stand at the side facing the client. Apply L stroke to both sides of the neck with flat fingers ...
Inspection of client
The nurse conveys attentive listening through a posture of involvement