CHAPTER 31: ANTI-PARKINSON AGENTS

CHAPTER 31: ANTI-PARKINSON AGENTS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When assessing a client’s knowledge about Parkinson’s disease, the nurse recognizes more teaching is needed when the client comments,

a.	“The main symptoms of the disease come from not having enough dopamine.”
b.	“I inherited Parkinson’s from my parents.”
c.	“Having this disease means my lack of coordination may cause me to drop things.”
d.	“Usually Parkinson’s disease begins slowly with symptoms developing over a period of months to years.”

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is a true statement and indicates client understanding.
B	Correct: At the present time heredity is not considered a predisposing factor.
C	Incorrect: This is a true statement and indicates client understanding.
D	Incorrect: This is a true statement and indicates client understanding.

 

 

PTS:   1                    REF:   p. 697            OBJ:   Cognitive Level: Evaluation

 

2. Home care/client teaching for clients receiving levodopa should include which of the following?

a.	Take the medication with a high protein food to avoid GI distress.
b.	Drinking plenty of fluids will help decrease the dry mouth response.
c.	Use caution and rise slowly from a bed or chair.
d.	Levodopa should be taken once daily at night.

 

 

ANS:  C

 

	Feedback
A	Incorrect: It should be administered with a nonprotein food or low-protein snack.
B	Incorrect: This drug does not cause anticholinergic responses.
C	Correct: This will help prevent falls from the orthostatic hypotension common with levodopa.
D	Incorrect: It is prescribed in divided doses.

 

 

PTS:   1                    REF:   p. 699 | p. 704 | p. 705, Safe Nursing Practice 31-1

OBJ:   Cognitive Level: Comprehension

 

3. When developing a care plan for a client with Parkinson’s disease, the nurse would identify which of the following nursing diagnoses as the highest priority:

a.	Altered nutrition, more than body requirements related to increased appetite.
b.	Deficient knowledge related to disease process and treatment regime.
c.	Impaired physical mobility related to hand tremors.
d.	Risk for injury, falls related to lack of coordination in movements.

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is not an appropriate nursing diagnosis for most clients with Parkinson’s.
B	Incorrect: Although appropriate, it is not the priority nursing diagnosis.
C	Incorrect: Although appropriate, it is not the priority nursing diagnosis.
D	Correct: This is the priority nursing diagnosis, because it involves client safety.

 

 

PTS:   1                    REF:   p. 705            OBJ:   Cognitive Level: Comprehension

 

4. The most common adverse effects experienced by clients taking levodopa include:

a.	nausea, vomiting, orthostatic hypotension.
b.	facial droop, drooling, psychiatric disturbances.
c.	shuffling gait, muscle rigidity, anxiety.
d.	lack of coordination, disturbed equilibrium, hypertension.

 

 

ANS:  A

 

	Feedback
A	Correct: These are the most common adverse effects.
B	Incorrect: These are not adverse effects of levodopa.
C	Incorrect: These are manifestations of Parkinson’s.
D	Incorrect: These are not adverse effects of levodopa.

 

 

PTS:   1                    REF:   p. 699            OBJ:   Cognitive Level: Knowledge

 

5. The nurse understands that apomorphine is sometimes used for clients with Parkinson’s disease:

a.	to facilitate restfulness.
b.	as a rapid “rescue” from a “frozen” state.
c.	to reverse the depressive effects of acetylcholine.
d.	as an analgesic for painful muscle spasms.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is not the purpose for its use.
B	Correct: It is very effective in treating a frozen state caused by undermedication.
C	Incorrect: This is not the purpose for its use.
D	Incorrect: It does not have analgesic qualities.

 

 

PTS:   1                    REF:   p. 700            OBJ:   Cognitive Level: Comprehension