A nurse checks on a patient with Parkinson's disease who recently began taking levodopa (Dopar). She finds the patient trying to get out of bed. The patient tells the nurse that every time she gets out of bed, she gets dizzy and light-headed
The nurse explains that this symptom is known as orthostatic hypotension, and she should instruct the patient to a. maintain bed rest for at least 2 weeks.
b. sleep on her left side to improve her circulation.
c. lie down and put her feet up on pillows.
d. try increasing the salt and water in her diet.
D
Postural hypotension is common early in treatment. Hypotension can be reduced by increasing the intake of salt and water.
Postural hypotension can be easily treated with dietary changes, as well as by instructing the pa-tient to rise slowly from lying to sitting to standing position. She does not need 2 weeks of bed rest.
Although sleeping on her left side may improve her circulation, it is not related to postural hypo-tension.
Lying down with the feet up is a more appropriate intervention for hypertension.
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A new mother tells the nurse that her friend's baby died from sudden infant death syndrome, and she wants to make sure that her baby is safe. Which of the following should the nurse do to assist the mother?
1. Encourage the mother to place the child in a face-down position for sleep 2. Suggest the mother avoid immunizing the child 3. Instruct the mother to keep the baby with her at all times to assess for apnea periods 4. There is no one cause for the syndrome; the best thing is to keep the baby healthy.
First-pass effect can result in a large fraction of an administered drug's being metabolically deactivated. Which client factors will decrease the magnitude of the first-pass effect? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Elderly client 2. Hepatic disease 3. Gall bladder disease 4. Renal disease 5. Parental medication administration
What value will require periodic monitoring for the client taking isotretinoin/13-cis-retinoic acid (Accutane)?
1. Blood pressure 2. Blood levels of vitamin A 3. Triglycerides 4. Heart rate
A person taking an atypical antipsychotic medication could be expected to develop all of the following metabolic disorders except:
A. anemia. B. diabetes mellitus. C. hyperlipidemia. D. weight gain.