Question 1

Which statement is true in regard to amantadine (Symmetrel) therapy?

Accepted Answer

A)  It increases the production of dopamine in the basal ganglia.
B)  It works by eliciting the release of dopamine from nerve endings.
C)  It is most effective in the later stages of Parkinson's disease.
D)  It is considered a long-term therapy for Parkinson's disease.

Question 2

Which statement describes an advantage of catechol ortho-methyltransferase (COMT) inhibitors during the treatment of Parkinson's disease?

Accepted Answer

A)  They have a shorter duration of action.
B)  They cause less gastrointestinal distress.
C)  They have a slower onset than traditional Parkinson's disease drugs.
D)  They are associated with fewer "wearing-off" effects and have prolonged therapeutic benefits. D

Question 3

When a patient is taking an anticholinergic,such as benztropine,as part of treatment for Parkinson's disease,what important information should the nurse give the patient as part of the teaching plan?

Accepted Answer

A)  Avoid vitamin B6 supplements and vitamin-fortified foods.
B)  Discontinue the medication immediately if adverse effects occur.
C)  Take the medication on an empty stomach to enhance absorption.
D)  Take the medication at bedtime to prevent drowsiness during the day.

Question 4

When assessing the past medication history of a patient with a new diagnosis of Parkinson's disease,what is the nurse's concern regarding the patient who will be taking levodopa-carbidopa (Sinemet) ?

Accepted Answer

A)  Glaucoma
B)  Seizure disorder
C)  Bladder difficulties
D)  Benign prostatic hypertrophy

Question 5

During drug therapy for Parkinson's disease,the nurse monitors for which signs of dyskinesia?

Accepted Answer

A)  Rigid, tense muscles
B)  Involuntary movements
C)  Limp extremities with weak muscle tone
D)  Confusion and altered mental status

Question 6

A patient has been treated with antiparkinsonian medications for 3 months.What therapeutic responses should the nurse look for when assessing this patient?

Accepted Answer

A)  Decreased appetite
B)  Gradual development of cogwheel rigidity
C)  Adverse effects such as confusion, anxiety, irritability, and headache
D)  Improved mental status and an improved ability to think clearly and to perform activities of daily living

Question 7

A patient has been taking selegiline (Anipril) for a month and says he understands the "cheese effect" that the doctor explained to him.When the nurse questions him about it,he tells her (correctly) that the cheese effect results in which symptom?

Accepted Answer

A)  Hypotension
B)  Hypertension
C)  Urinary discomfort
D)  Gastrointestinal upset B

Question 8

A patient newly diagnosed with Parkinson's disease has been given a prescription for levodopa-carbidopa (Sinemet ) .The patient comments,however,that a friend was given a prescription for "plain levodopa." What should the nurse explain to this patient about her prescription?

Accepted Answer

A)  Levodopa alone cannot cross the blood-brain barrier.
B)  There is no real difference between the two prescriptions.
C)  The combination drug is more efficient in increasing the dopamine level in the brain.
D)  Concerns about drug-food interactions with levodopa therapy do not exist with the combination therapy.

Question 9

A patient taking a levodopa preparation for the first time calls the clinic to report dark discoloration of his urine.Which statement is true in this situation?

Accepted Answer

A)  The discoloration of urine is a harmless effect of the drug.
B)  The patient has taken this drug with red wine or cheese.
C)  The patient is having an allergic reaction to the drug.
D)  The patient has most likely taken extra drug doses.

Question 10

Which nursing diagnosis is appropriate for patients taking anticholinergic drugs?

Accepted Answer

A)  Diarrhea
B)  Urinary retention
C)  Risk for infection
D)  Ineffective tissue perfusion B

Exam 16: Antiparkinsonian Drugs

Which statement is true in regard to amantadine (Symmetrel) therapy?

Correct Answer
verified

Which statement describes an advantage of catechol ortho-methyltransferase (COMT) inhibitors during the treatment of Parkinson's disease?

Correct Answer
verified
D

When a patient is taking an anticholinergic,such as benztropine,as part of treatment for Parkinson's disease,what important information should the nurse give the patient as part of the teaching plan?

Correct Answer
verified

When assessing the past medication history of a patient with a new diagnosis of Parkinson's disease,what is the nurse's concern regarding the patient who will be taking levodopa-carbidopa (Sinemet) ?

Correct Answer
verified

During drug therapy for Parkinson's disease,the nurse monitors for which signs of dyskinesia?

Correct Answer
verified

A patient has been treated with antiparkinsonian medications for 3 months.What therapeutic responses should the nurse look for when assessing this patient?

Correct Answer
verified

A patient has been taking selegiline (Anipril) for a month and says he understands the "cheese effect" that the doctor explained to him.When the nurse questions him about it,he tells her (correctly) that the cheese effect results in which symptom?

Correct Answer
verified
B

A patient newly diagnosed with Parkinson's disease has been given a prescription for levodopa-carbidopa (Sinemet ) .The patient comments,however,that a friend was given a prescription for "plain levodopa." What should the nurse explain to this patient about her prescription?

Correct Answer
verified

A patient taking a levodopa preparation for the first time calls the clinic to report dark discoloration of his urine.Which statement is true in this situation?

Correct Answer
verified

Which nursing diagnosis is appropriate for patients taking anticholinergic drugs?

Correct Answer
verified
B

Exam 16: Antiparkinsonian Drugs

Which statement is true in regard to amantadine (Symmetrel) therapy?

Correct AnswerverifiedShow Answer

Which statement describes an advantage of catechol ortho-methyltransferase (COMT) inhibitors during the treatment of Parkinson's disease?

Correct AnswerverifiedD

When a patient is taking an anticholinergic,such as benztropine,as part of treatment for Parkinson's disease,what important information should the nurse give the patient as part of the teaching plan?

Correct AnswerverifiedShow Answer

When assessing the past medication history of a patient with a new diagnosis of Parkinson's disease,what is the nurse's concern regarding the patient who will be taking levodopa-carbidopa (Sinemet) ?

Correct AnswerverifiedShow Answer

During drug therapy for Parkinson's disease,the nurse monitors for which signs of dyskinesia?

Correct AnswerverifiedShow Answer

A patient has been treated with antiparkinsonian medications for 3 months.What therapeutic responses should the nurse look for when assessing this patient?

Correct AnswerverifiedShow Answer

A patient has been taking selegiline (Anipril) for a month and says he understands the "cheese effect" that the doctor explained to him.When the nurse questions him about it,he tells her (correctly) that the cheese effect results in which symptom?

Correct AnswerverifiedB

A patient newly diagnosed with Parkinson's disease has been given a prescription for levodopa-carbidopa (Sinemet ) .The patient comments,however,that a friend was given a prescription for "plain levodopa." What should the nurse explain to this patient about her prescription?

Correct AnswerverifiedShow Answer

A patient taking a levodopa preparation for the first time calls the clinic to report dark discoloration of his urine.Which statement is true in this situation?

Correct AnswerverifiedShow Answer

Which nursing diagnosis is appropriate for patients taking anticholinergic drugs?

Correct AnswerverifiedB

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B