The nurse notes that a patient who has Parkinson's disease often has twitching of the eye and increased tremors when medications are being administered. The nurse discusses which changes in therapy with the provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

1. Increasing the dose of medications
2. Changing the interval between doses of medication
3. Using a liquid form of the medication
4. Scheduling a drug holiday
5. Adding an adjunctive drug


1,2,5
Rationale 1: These findings may indicate a wearing-off time has occurred. The dose of medication may need to be increased.
Rationale 2: These findings may indicate a wearing-off time has occurred. The timing of drug administration may need to be changed.
Rationale 3: There is no indication that a liquid form of the medication is indicated.
Rationale 4: The patient needs to remain on the medication.
Rationale 5: These findings may indicate a wearing-off time has occurred. There may be a need to add an adjunctive medication.

Global Rationale: These findings may indicate a wearing-off time has occurred. The dose of medication may need to be increased, the timing of drug administration may need to be changed, or an adjunctive drug may need to be added. There is no indication that a liquid form of the medication is indicated. The patient needs to remain on the medication.

Nursing

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Shortly after the administration of the medication, the patient reports that her muscle strength is significantly weaker than before the test. The nurse who is participating in the test should recognize that this finding is suggestive of what diagnosis? A) Alzheimer's disease B) Anticholinergic crisis C) Myasthenia gravis D) Cholinergic crisis

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The nurse reviewing discharge instructions for a client diagnosed with urinary incontinence resulting from a urinary tract infection. Which statement made by the client indicates the need for further education?

A) "I should drink plenty of water to prevent damage to my kidneys while I am on the antibiotics for the infection." B) "Drinking cranberry juice will decrease the risk for developing urinary tract infections." C) "I will contact the healthcare provider prior to taking over-the-counter medications while on my antibiotic." D) "I will continue to hold my urine while in public so that I do not get another infection."

Nursing

Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of feeling depressed and having "strange" thoughts. The appropriate initial action would be:

1. Increase her dose 2. Assess for suicidal ideation 3. Discontinue the medication immediately 4. Decrease her dose to half then slowly titrate up the dose

Nursing

The conflict resolution technique in which each side gives up something and gains something is called:

a. avoiding. c. competing. b. accommodating. d. compromising.

Nursing