A patient with a history of Parkinson's disease who is takes levodopa (Dopar) comes to the nurse's station complaining of very dark urine. The nurse should include which action in the further assessment of the patient's complaint?

a. Obtain a urinalysis to screen for blood.
b. Instruct the patient to cut down on the salt intake.
c. Explain to the patient that this is a harmless, expected effect.
d. Instruct the patient to increase fluids to dilute the urine.


C
Levodopa may darken sweat and urine. Patients should be informed about this harmless effect.
A urinalysis is not indicated for this expected effect of the medication.
Reducing the salt intake has no effect on the color of the urine.
Additional fluid may not be indicated for this effect.

Nursing

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The nurse can enhance a 75-year-old patient's ability to learn how to administer medication by:

A) Providing links to websites that contain information related to the medication B) Excluding family members from the session C) Using color-coded materials D) Making the information relevant to the patient's condition

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An older client's serum calcium level is 8.7 mg/dL. What possible etiologies does the nurse consider for this result? (Select all that apply.)

a. Good dietary intake of calcium and vitamin D b. Normal age-related decrease in serum calcium c. Possible occurrence of osteoporosis or osteomalacia d. Potential for metastatic cancer or Paget's disease e. Recent bone fracture in a healing stage

Nursing

A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical attention. The nurse realizes this client understands that pain is important because it:

1. is a protective system. 2. includes the automatic withdrawal reflex. 3. creates sensitivity to pain. 4. helps with healing.

Nursing

A patient with depersonalization disorder tells the nurse, "It's starting again. I feel as though I'm going to float away." The nurse should help the patient by:

a. encouraging meditation. b. administering an anxiolytic medication. c. helping the patient visualize a pleasant scene. d. helping the patient focus on the here and now.

Nursing