A patient who has parkinsonism has been taking carbidopa-levodopa and has shown improvement in symptoms but develops dystonic movements, nausea, and vomiting
Which medication will the nurse expect the provider to order for this patient to replace carbidopa-levodopa?
a. Amantadine HCl (Symmetrel)
b. Benztropine (Cogentin)
c. Bromocriptine mesylate (Parlodel)
d. Tacrine (Cognex)
ANS: C
Bromocriptine is often used for patients who do not tolerate carbidopa-levodopa. Amantadine is useful for treating Parkinson's disease but does not have sustained effects. Benztropine is given to reduce muscle rigidity and some tremors. Tacrine is used to treat Alzheimer's disease.
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The nurse explains to the patient that in the event of an accidental needle stick, the nurse should adhere to hospital policy, the usual directives of which are (select all that apply):
1. Antibiotics are taken if infection present. 2. Blood is drawn from both nurse and patient. 3. Repeat blood draws are performed 4 weeks after the stick. 4. Obtain doctor's permission to return to work. 5. An incident report is initiated.
An elderly client presents with the complaint of difficulty swallowing some foods such as whole wheat bread and crackers. The nurse knows it is important to assess for what normal age-related physiological changes?
1. Dyskinesia 2. Dysomia 3. Xerostomia 4. Leukoplakia
Identify an accurate statement about Parkinson's disease.
A. Parkinson's disease is caused by the destruction of the acetylcholine neurons. B. Parkinson's disease may eventually result in physical disability. C. Parkinson's disease is treated primarily by psychotherapy. D. Parkinson's disease is caused by the degradation of the corpus striatum.
Which of the following drugs irreversibly inactivates its target enzyme?
A. Flutamide B. Letrozole C. Exemestane D. Methotrexate