The nurse is instructing a client with Parkinson's disease about preventing falls. Which client statement reflects a need for further teaching?

1."I can sit down to put on my pants and shoes."

2."My family removed all loose rugs from my bedroom."

3."I try to exercise every day and rest when I'm tired."

4."I don't need to use my walker to get to the bathroom."

4."I don't need to use my walker to get to the bathroom."

The clinic nurse is reviewing the record of a client scheduled to be seen in the clinic. The nurse notes that the client is taking selegiline hydrochloride. The nurse suspects that the client has which disorder?

1.Diabetes mellitus

2.Parkinson's disease

3.Alzheimer's disease

4.Coronary artery disease

2.Parkinson's disease

The home care nurse is visiting a client with a diagnosis of Parkinson's disease. The client is taking benztropine mesylate orally daily. The nurse provides information to the spouse regarding the side effects of this medication and would tell the spouse to report which side effect if it occurs?

1.Shuffling gait

2.Inability to urinate

3.Decreased appetite

4.Irregular bowel movements

2.Inability to urinate

The nurse is caring for a client with Parkinson's disease. Which finding about gait would the nurse expect to note in the client?

1.Walking on the toes

2.Unsteady and staggering

3.Shuffling and propulsive

4.Broad-based and waddling

3.Shuffling and propulsive

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect?

1.Pruritus

2.Tachycardia

3.Hypertension

4.Impaired voluntary movements

4.Impaired voluntary movements

The nurse in a long-term care facility is reviewing the primary health care provider's (PHCP's) prescriptions on an assigned client. The nurse notes that the PHCP prescribed ropinirole hydrochloride. The nurse determines that this medication has been prescribed to treat which condition in the client?

1.Depression

2.Diabetes mellitus

3.Coronary artery disease

4.Parkinsonian syndrome

4.Parkinsonian syndrome

A client began taking amantadine approximately 2 weeks ago. The client reports to the clinic for a follow-up evaluation. The nurse determines that the client is experiencing a side or adverse effect related to the use of this medication if which is noted?

1.Decreased rigidity

2.Decreased akinesia

3.A blood pressure of 118/74 mm Hg

4.Client complaints of urinary retention

4.Client complaints of urinary retention

A client is taking benztropine mesylate orally daily. In monitoring this client for medication side effects, the nurse would plan to focus the assessment on which item?

1.Pupil response

2.Voiding pattern

3.Prothrombin time

4.Muscle strength and mobility

2.Voiding pattern

Benztropine mesylate is prescribed for a client. What statement by the client indicates that the client needs further teaching about the medication?

1."I will avoid driving if I get drowsy or dizzy."

2."I will watch my urinary output and look for signs of constipation."

3."I will sit in the sun for an hour a day to enhance medication effectiveness."

4."I will call the primary health care provider if I have difficulty swallowing or if I start vomiting."

3."I will sit in the sun for an hour a day to enhance medication effectiveness."

A client has been prescribed benztropine. The nurse would assess for which gastrointestinal (GI) problems as a side or adverse effect of this medication?

1.Diarrhea

2.Dry mouth

3.Increased appetite

4.Hyperactive bowel sounds

2.Dry mouth

A client with Parkinson's disease has begun therapy with levodopa/carbidopa. The nurse determines that the client understands the action of the medication if he or she verbalizes that results may not be apparent for approximately how long?

1. 1 week

2. 24 hours

3. 2 to 3 days

4. 2 to 3 weeks

4. 2 to 3 weeks

A client is taking trihexyphenidyl hydrochloride. The nurse would assess for which side or adverse effect of this medication?

1.Diarrhea

2.Urinary retention

3.Urinary incontinence

4.Excessive perspiration

2.Urinary retention

A client receiving therapy with carbidopa/levodopa is upset and tells the home health nurse that the urine has turned a darker color since starting this medication. The client wants to discontinue its use. In formulating a response to the client's concerns, the nurse interprets that this change is indicative of which condition?

1.Developing toxicity

2.A harmless side effect of the medication

3.A result of taking the medication with milk

4.A sign of interaction with another medication

2.A harmless side effect of the medication

A client began taking amantadine approximately 2 weeks ago. The nurse determines that the medication is having a therapeutic effect if the client exhibits which finding?

1.Decreased voiding

2.Decreased blood pressure

3.Decreased rigidity and akinesia

4.Decreased white blood cell count

3.Decreased rigidity and akinesia

The nurse is preparing to ambulate a client with Parkinson's disease who has recently been started on levodopa/carbidopa. Before performing this activity with the client, the nurse would include which most important assessment in the client's plan of care?

1.History of falls

2.Use of assistive devices

3.Postural (orthostatic) vital signs

4.Degree of exhibited intention tremor

3.Postural (orthostatic) vital signs

The nurse is caring for a client who is taking oral benztropine mesylate daily. What is the priority nursing assessment for the client?

1.Intake and output

2.The prothrombin time

3.The pupillary response

4.The partial thromboplastin time

1.Intake and output

The nurse teaches the spouse of a client who is receiving levodopa/carbidopa to avoid pyridoxine medications. Which statement by the wife indicates an understanding of the instructions?

1."Vitamin B₆ will change perspiration and urine to a dark color, which may stain clothing."

2."Vitamin B₆ reverses the effectiveness of the medication, meaning a higher dose is needed."

3."The medication competes with vitamin B₆ for absorption in the intestine, blocking absorption."

4."The two medications in combination will cause the blood sugar to drop, causing hypoglycemia."

2."Vitamin B₆ reverses the effectiveness of the medication, meaning a higher dose is needed."

The nurse is instructing a client with Parkinson's disease about preventing falls. Which client statement reflects a need for further teaching?

1."I can sit down to put on my pants and shoes."

2."I try to exercise every day and rest when I'm tired."

3."My son removed all loose rugs from my bedroom."

4."I don't need to use my walker to get to the bathroom."

4."I don't need to use my walker to get to the bathroom."

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect?

1.Pruritus

2.Tachycardia

3.Hypertension

4.Impaired voluntary movements

4.Impaired voluntary movements