|Nurs 271 Final Practice Exam |Nurs 271 Final
Exam Preparation With 250 Questions And Correct
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Action of levodopa-carbidopa? - ANSWER-Levodopa
crosses BBB and is converted to dopamine, and
carbidopa decreases the metabolism of levodopa (see
ALG for more details on levodopa); thought to be the
mechanism whereby drug relieves symptoms of
Parkinson's
Use of levodopa-carbidopa? - ANSWER-Treatment of
Parkinson's and parkinsonisms
Therapeutic effects of levodopa-carbidopa? – ANSWER
,Improvement in mobility, balance, posture, gait, speech,
handwriting, and self-care ability; elimination of drooling
and seborrhea; mood elevation
Contraindications for levodopa-carbidopa? - ANSWER-
Narrow-angle glaucoma; suspicious skin lesions or history
of melanoma; 14 days within MAOI administration
Adverse effects of levodopa-carbidopa? – ANSWER
Headache and anxiety Older patients: hallucinations,
dementia, drowsiness
Most severe: depression w/ SI CV: ectopic beats, anginal
pain, hypotension, dyspnea, widened QRS, tachycardia,
palpitations, vasoconstriction, bradycardia, orthostatic
hypotension
,Anorexia, bruxism (clenching/grinding of teeth), n/v
Piloerection (goosebumps), azotemia (high levels of
nitrogen-containing compounds), gangrene
QSEN for levodopa-carbidopa? - ANSWER-Admin at
correct time is critical for optimal therapeutic effects
Patient teaching for levodopa-carbidopa? - ANSWER-
Avoid alcohol Don't take vitamin B6 group
Understand adverse effects like drowsiness, dizziness,
and orthostatic hypotension Take with food, but not high-
protein meals Report fainting, light-headedness, irregular
HR, uncontrolled facial movements, urinary retention, n/v
Notify HCP of static gait, altered mobility, and "pill rolling"
what do isotonic crystalloids do? - ANSWER-Expand
, circulating IV fluid (plasma) without causing a fluid shift
between compartments for pts with dehydration and LOW
BP
Used to relieve cellular edema, especially cerebral edema
- ANSWER- Hypertonic
Indicated for patients with hypernatremia and cellular
dehydration;dehydration with normal BP - ANSWER-
hypotonic
What class is norepinephrine? - ANSWER-adrenergic drug
What is the action of NE? - ANSWER-predominant alpha-
receptor