A patient has a new order for a catechol ortho-methyltransferase
(COMT) inhibitor as part of treatment for Parkinson's disease. The nurse recognizes that which of these is an advantage of this drug class?
a. It has a shorter duration of action.
b. It causes less gastrointestinal distress.
c. It has a slower onset than traditional Parkinson's disease drugs.
d. It is associated with fewer wearing-off effects.
ANS: D
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A physician orders methylphenidate (Ritalin) for a child diagnosed with ADHD. Which information about this medication should the nurse provide to the parents?
1. If one dose of Ritalin is missed, double the next dose. 2. Administer Ritalin to the child after breakfast. 3. Administer Ritalin to the child just prior to bedtime. 4. A side effect of Ritalin is decreased ability to learn.
A nurse is caring for a client who had a musculocutaneous flap reconstruction. The nurse assesses the flap to be cool with dark dermal blood on lancing. The most appropriate action by the nurse is to
a. document the findings and continue care. b. elevate the affected body part if possible. c. notify the surgeon immediately. d. rewrap the pressure dressing.
A psychiatric nurse performs an admission assessment for a newly admitted client. The nurse understands that gathering assessment information is considered:
A) Secondary in importance to diagnostic or laboratory studies. B) The cornerstone of diagnosis and treatment planning. C) Useful only for building rapport. D) Helpful but not necessary for accurate diagnosis and treatment.
A pediatric clinic nurse's main responsibilities include:
1. Assessing parenting styles. 2. Assessing readiness to learn for the patient and family. 3. Documentation of family and parental responses to education. 4. Assessing the culture of the family. 5. All of the above. 6. None of the above.