Page 2067 - Saunders Comprehensive Review For NCLEX-RN

a. Dyskinesia
b. Involuntary body movements
c. Chest pain
d. Nausea and vomiting
e. Urinary retention
f. Constipation
g. Sleep disturbances, insomnia, or
periods of sedation
h. Orthostatic hypotension and dizziness
i. Confusion
j. Mood changes, especially depression
k. Hallucinations
l. Dry mouth

4. Interventions

a. Assess vital signs.
b. Assess for risk of injury.
c. Instruct the client to take the medication
with food if nausea or vomiting occurs.
d. Assess for signs and symptoms of
parkinsonism such as rigidity, tremors,
akinesia, bradykinesia, a stooped
forward posture, shuffling gait, and
masked facies.
e. Monitor for signs of dyskinesia.
f. Instruct the client to report side and
adverse effects and symptoms of
dyskinesia.
g. Monitor the client for improvement in
signs and symptoms of parkinsonism.
h. Instruct the client to change positions
slowly to minimize orthostatic
hypotension.
i. Instruct the client not to discontinue the
medication abruptly.
j. Instruct the client to avoid alcohol.
k. Inform the client that urine or
perspiration may be discolored and
that this is harmless but may stain the
clothing.
l. Advise the client with diabetes mellitus
that glucose testing should not be done
by urine testing, because the results
will not be reliable.
m. Instruct the client taking carbidopa-
levodopa to divide the total daily
prescribed protein intake among all
meals of the day; high-protein diets

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