A client is prescribed a dopaminergic agent for management of ...

[oliviahorn72]

A client is prescribed a dopaminergic agent for management of symptoms related to Parkinson disease.
 
  When teaching the client and family about the medication management, which time frame will the nurse include regarding when the medication should be recognizable?
  1. Within 1 week
  2. Within 2 to 3 days
  3. Within 24 hours
  4. Within 2 to 3 weeks

Question 2

The family member of a client with Parkinson disease notifies the nurse that the client is demonstrating extrapyramidal symptoms. Which instruction by the nurse to the family is the most appropriate?
 
  1. Increase the dosage of the antiparkinson drugs.
  2. Transport the client to the emergency department immediately.
  3. Make an appointment when convenient for the client and health care provider for an evaluation.
  4. Give diphenhydramine (Benadryl) 25 mg immediately by mouth.

[frankwu0507]

Answer to Question 1

Correct Answer: 4
Rationale 1: Results will not be observed within 1 week.
Rationale 2: Results will not be observed within 2 to 3 days.
Rationale 3: Results will not be observed within 24 hours.
Rationale 4: It can take up to 2 or 3 weeks to observe results in the client.
Global Rationale: It can take up to 2 or 3 weeks to observe results in the client. The other time frames are not appropriate for the nurse to share with the client and family.

Answer to Question 2

Correct Answer: 2
Rationale 1: The dosage of antiparkinson drugs is not increased, as symptoms can become worse with increased dosage.
Rationale 2: Extrapyramidal symptoms can be life threatening without intervention. The client should be transported immediately to the emergency department.
Rationale 3: Extrapyramidal symptoms can be life threatening without intervention. The client should not wait for an appointment with the health care provider.
Rationale 4: Diphenhydramine must be given parenterally for effective treatment.
Global Rationale: Extrapyramidal symptoms can be life threatening without intervention. The client should be transported immediately to the emergency department; it would not be appropriate to wait for an appointment with the health care provider. The dosage of antiparkinson drugs is not increased, as symptoms can become worse with increased dosage. Diphenhydramine must be given parenterally for effective treatment.

[oliviahorn72]

TYSM

[komodo7]

Excellent