A patient with Parkinson's disease is taking levodopa/carbidopa [Sinemet]. The prescriber orders bromocriptine [Parlodel] to treat dyskinesias. The nurse notes that the patient is agitated, and the patient reports having frequent nightmares
The nurse will contact the provider to discuss: a. adding an antipsychotic medication.
b. changing from bromocriptine to cabergo-line [Dostinex].
c. reducing the dose of bromocriptine.
d. reducing the dose of levodopa/carbidopa.
C
Bromocriptine is used to treat levodopa-induced dyskinesias and has dose-dependent psycholog-ic side effects. The nurse should suggest reducing the dose of this drug to minimize these side effects. Adding an antipsychotic medication is not indicated. Cabergoline is not approved for this use. Reducing the dose of levodopa/carbidopa is not indicated.
You might also like to view...
A child is being weaned from the ventilator. He is awake and alert but getting increasingly tired. Which action by the nurse is the most appropriate?
A. Cluster nursing care so the child is able to get uninterrupted periods of rest. B. Collaborate with other health team members to slow or stop the weaning process. C. Draw a blood sample for blood gas analysis, and compare the results to the last blood gas values. D. Have all of the child's visitors leave to allow the child to take a short nap.
One worker in the surgical center is found to be culture-positive for streptococcal microor-ganisms in his nasal mucosa but has no symptoms of infection. What is this person's status in the chain of infection?
A. Reservoir B. Portal of entry C. Portal of exit D. Susceptible host
A nurse recognizes that strategies for clear, accurate communication to promote client safety include which of the following?
a. Establishing a safe environment b. Maintaining a climate of closed communication c. Using unique interdisciplinary communication tools d. Using communication tools that promote vague communication
A patient has been admitted to the hospital for surgery and tells the nurse, "I do not feel comfortable leaving my children with my parents." Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents. b. Have the patient call the children to ensure that they are doing well. c. Gather more data about the patient's feelings about the child-care arrangements. d. Call the patient's parents to determine whether adequate child care is being provided.