A patient who has Parkinson's disease and who takes levodopa reports that the drug effects wear off more quickly than before. The primary care NP should:
a. add carbidopa.
b. add amantadine.
c. increase the dose of levodopa.
d. add a monoamine oxidase B inhibitor (MAO-B).
D
When an MAO-B is given, it appears to enhance and prolong the response to levodopa, reducing the wearing-off effect. Carbidopa does not alter this effect. Amantadine is not indicated. Increasing the dose of levodopa is not indicated.
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The nurse is preparing a critically ill patient for transfer to another facility. Based on the criteria established by the Emergency Medical Transfer Active Labor Act (EMTALA), what patient situation would prevent transfer?
A) The sole reason for transfer is the patient's uninsured status. B) The patient has been stabilized before the transfer. C) The receiving agency has the expertise to care for the patient. D) Transfer records are complete and sent with the patient.
The nurse notices a sputum specimen sitting on the bedside table in a patient's room. After asking the patient when he produced the sputum specimen, he learns the specimen is about 4 hours old. Knowing this information, the nurse:
A) Immediately takes the sputum specimen to the laboratory B) Discards the specimen and assists the patient in obtaining another specimen C) Refrigerates the sputum specimen D) Waits an additional 2 hours before sending the specimen to the laboratory
Which expected outcome(s) would indicate improvement in a patient with emphysema? (Select all that apply.)
a. Patent airway b. Increased rhonchi and wheezes c. Normal arterial blood gases (for this patient) d. Increasing oxygen concentrations e. Decreased breathe sounds f. Decreased dyspnea
An incentive to achieve that comes from someone or something is known as ____
a. External motivation b. Internal motivation c. Personal motivation d. Superficial motivation