Author Question: A client who is prescribed benztropine (Cogentin) tells the nurse about plans for a Caribbean ... (Read 101 times)

appyboo · **on:** Jul 23, 2018

A client who is prescribed benztropine (Cogentin) tells the nurse about plans for a Caribbean cruise. What should the nurse include during client teaching?

1. Take a multivitamin every day to keep you healthy.
2. If you miss a dose, take the next dose at its regularly scheduled time.
3. Limit your activity while on the cruise.
4. Avoid alcohol.

Question 2

The nurse is planning care for a client with Parkinson disease. What intervention is important for the nurse to include?

1. Monitor the client's ability to chew and eat.
2. Teach the client to limit exercise to decrease the risk for fractures.
3. Assess peripheral circulation for presence of thrombophlebitis.
4. Monitor the client for development of psychotic symptoms.

aham8f · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: A multivitamin is not recommended for those on benztropine (Cogentin).
Rationale 2: The dosage schedule should be maintained. Measures should be put into place to ensure that doses are not missed.
Rationale 3: The client does not need to limit activity while taking this medication.
Rationale 4: Benztropine (Cogentin) interacts with alcohol and has an additive sedative effect.
Global Rationale: Benztropine (Cogentin) interacts with alcohol and has an additive sedative effect. A multivitamin is not recommended for those on benztropine (Cogentin). The dosage schedule should be maintained. Measures should be put into place to ensure that doses are not missed. The client does not need to limit activity while taking this medication.

Answer to Question 2

Correct Answer: 1
Rationale 1: In Parkinson disease, muscle function is lost, and the client's ability to chew and swallow is impaired, increasing the risk of aspiration.
Rationale 2: Activity is important to maintain as much muscle tone as possible and should not be limited.
Rationale 3: Thrombophlebitis is not related to Parkinson disease.
Rationale 4: Psychosis is possible, but this would not be the primary concern.
Global Rationale: In Parkinson disease, muscle function is lost, and the client's ability to chew and swallow is impaired, increasing the risk of aspiration. Activity is important to maintain as much muscle tone as possible and should not be limited. Thrombophlebitis is not related to Parkinson disease. Psychosis is possible, but this would not be the primary concern.