A 65-year-old patient is diagnosed with Parkinson's disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with:
a. selegiline.
b. benztropine.
c. carbidopa/levodopa.
d. ropinirole hydrochloride.
A
Selegiline is safe for patients with glaucoma and emphysema. Benztropine is contraindicated in patients with glaucoma and emphysema. Dopamine precursors, such as carbidopa/levodopa, are contraindicated in patients with narrow-angle glaucoma and cautioned in patients with emphysema.
You might also like to view...
A nurse has cared for a patient who is being discharged later today. The patient will begin three new medications as part of her treatment plan. The primary role of the nurse in regard to the patient's drug therapy will be to
A) refer the patient to a social worker who will help her purchase the medications. B) consult with several pharmacists to determine the cost of each drug. C) educate the patient concerning the medications. D) consult with the physician concerning choice of medications for the patient.
The recommended dosage of morphine IM for a child is 0.1 to 0.2 mg/kg/dose. A safe dosage for a child weighing 15.5 kg is _______________
a. 15 mg b. 10 mg c. 2 mg d. 3.5 mg
Which of the following is the most important task to be accomplished during the initial home visit?
a. Assess the client and the family b. Discuss social topics c. Educate the client and the family regarding the health problem d. Establish rapport and trust
The nurse would contact the health care provider with concerns that this patient is demonstrating which complication of urinary calculi?
1. Hydronephrosis 2. Infection 3. Renal colic 4. Ureteral tumor