A patient has been prescribed the dopamine agonist pramipexole (Mirapex) for Parkinson's disease. Which of the following are important for the nurse to include in teaching about the drug? (Select all that apply.)
a. "Do not drive until the effects of this drug on you are fully known."
b. "Take it at noon each day."
c. "Because this drug may interact with some painkillers, be sure to tell health-care providers that you are taking Mirapex."
d. "Increase fluids and fiber in your diet."
e. "You may experience sudden bouts of excessive sleepiness."
f. "Taking the medication with food may reduce nausea."
ANS: A, D, E, F
Patients may fall asleep suddenly; caution patient to avoid driving until effects are known. Constipation may occur and can be prevented with fluids and fiber. Giving with meals may reduce nausea. Selegiline, not pramipexole, should be given at noon and interacts with meperidine (Demerol).
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