Podcast
Questions and Answers
A client with Parkinson's disease has been prescribed benztropine (Cogentin). The nurse monitors for which gastrointestinal (GI) side effect of this medication?
A client with Parkinson's disease has been prescribed benztropine (Cogentin). The nurse monitors for which gastrointestinal (GI) side effect of this medication?
- Diarrhea
- Hyperactive bowel sounds
- Dry mouth (correct)
- Increased appetite
A client with a history of simple partial seizures is taking clorazepate (Tranxene). What is the risk of addiction associated with clorazepate?
A client with a history of simple partial seizures is taking clorazepate (Tranxene). What is the risk of addiction associated with clorazepate?
- Is not habit forming, either physically or psychologically
- Leads to physical tolerance, but only after 10 or more years of therapy
- Can result in psychological dependence only, because of the nature of the medication
- Leads to physical and psychological dependence with prolonged high-dose therapy (correct)
What should the nurse advise a client on clonazepam (Klonopin) regarding increasing clumsiness and unsteadiness since starting the medication?
What should the nurse advise a client on clonazepam (Klonopin) regarding increasing clumsiness and unsteadiness since starting the medication?
- Usually occur if the client takes the medication with food
- Are worse during initial therapy and decrease or disappear with long-term use (correct)
- Indicate that the client is experiencing a severe untoward reaction to the medication
- Are probably the result of an interaction with another medication
A hospitalized client is having the dosage of clonazepam (Klonopin) adjusted. What should the nurse plan to do?
A hospitalized client is having the dosage of clonazepam (Klonopin) adjusted. What should the nurse plan to do?
A client has a prescription for valproic acid (Depakene) orally once daily. What should the nurse ensure?
A client has a prescription for valproic acid (Depakene) orally once daily. What should the nurse ensure?
What should a client taking carbamazepine (Tegretol) do if they miss one dose?
What should a client taking carbamazepine (Tegretol) do if they miss one dose?
Study Notes
Parkinson's Disease and Benztropine
- Benztropine (Cogentin) is prescribed to manage Parkinson's disease symptoms.
- A key gastrointestinal side effect of benztropine is dry mouth.
Clorazepate and Seizure Management
- Clorazepate (Tranxene) is used for simple partial seizures.
- Prolonged high-dose therapy with clorazepate can lead to both physical and psychological dependence.
Clonazepam Side Effects
- Clonazepam (Klonopin) may cause clumsiness and unsteadiness, especially at the beginning of therapy.
- Symptoms typically worsen initially but decrease or disappear with long-term use.
Adjustments for Clonazepam Dosage
- When adjusting clonazepam dosage, it's critical to institute seizure precautions to ensure client safety.
Valproic Acid Administration
- Valproic acid (Depakene) should be administered orally at the same time each day to maintain consistent drug levels.
Missed Dose of Carbamazepine
- If a dose of carbamazepine (Tegretol) is missed, it should be taken unless it's close to the next scheduled dose.
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Description
Test your knowledge on pharmacological treatments related to Parkinson's disease and seizure management. This quiz covers medication effects and nursing considerations critical for patient care. Perfect for nursing students and professionals looking to reinforce their pharmacology skills.