The client is switched to a different dose of carbidopa-levodopa (Sinemet). Which nursing assessment is primary during this time of medication change?
A) Observe for jaundice.
B) Assess for euphoria.
C) Monitor vital sign fluctuation.
D) Monitor for elevation of glucose levels.
C
Feedback:
Adverse effects of dopamine replacement drugs include cardiac dysrhythmias, hypotension, muscle cramps, and GI distress. Vital signs should be monitored during periods of medication adjustment, and changes such as orthostatic hypotension and arrhythmias/palpitations should be reported. The nurse should monitor the liver enzymes and BUN, but jaundice should not occur. During changes in dopamine levels, the client may exhibit signs of paranoia or suicidal ideation not euphoria. Blood sugar levels are not affected by dopamine replacement drugs.
You might also like to view...
A pregnant woman tells you that she does not drink much fluid daily. How many glasses of fluid would you advise her to ingest daily during pregnancy?
A) 2 B) 4 C) 6 D) 10
The home care nurse is seeing a patient for management and evaluation of the patient care plan. Which of the following will the nurse most likely do for this patient?
a. Integrate the care provided to prevent rehospitalization b. Provide intravenous therapy c. Assess the home for safety issues d. Assess the patient's ability to ambulate
Uncontrolled muscular contractions that are often violent are called ____________________.
Fill in the blank(s) with the appropriate word(s).
What is the main buffer in the extracellular fluid?
A. Phosphate buffer system B. Bicarbonate-carbonic acid C. Urea D. None of the above