Answer to Question 1
D
Entacapone is a COMT inhibitor. These drugs can cause the adverse effect of rhabdomyolysis, a serious and potentially fatal effect involving destruction or degeneration of skeletal muscle. Signs and symptoms of rhabdomyolysis include muscle aches, muscle weakness, and dark cola-colored urine. The nurse must hold the drug and notify the prescriber immediately.
Answer to Question 2
D
Dopaminergic drugs increase the amount of dopamine activity in the brain. COMT (cate-chol-o-methyltransferase) inhibitors allow a larger amount of levodopa to reach the brain, which increases the brain's dopamine levels. MAO-B inhibitors inhibit the enzyme monoamine oxidase B that breaks down dopamine in the brain. Anticholinergic drugs are effective against tremors and rigidity by blocking cholinergic nerve impulses that help control the muscles of the arms, legs, and body.
Kidney Disease
Entry level nurse competencies
Building competency in patient centered care
Patient Teaching Methods Cont.
A physical therapist exercising the patient’s leg in a physical therapy department.
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