[Verified Answer]: Scenario #5Mr

Scenario #5Mr. Boulder, a 62-year-old retired contractor, is going to see the neurologist for a follow-up visit. Mrs. Boulder is the primary caregiver because Mr. Boulder was diagnosed with Parkinsons disease about five years ago. He is currently taking carbidopa-levodopa (Sinemet) and his symptoms have been controlled but now he is experiencing more bad times as his wife describes it.Patients who are taking long-term carbidopa-levodopa often experience an on-off phenomenon in symptoms.Explain the physiology of this phenomenon.What are the adverse effects that can occur with this medication?After completing blood work, the neurologist changed Mr. Boulder medication to benztropine mesylate (Cogentin). His wife asks, Why change the medication? What is the difference?As the nurse, how will you answer Mrs. Boulders questions?What patient teaching/education will you include in the discharge instructions?