Which goal is the most realistic and appropriate for a client with Parkinsons disease?

The client has hand tremors at rest.

The client does not remember what he ate for breakfast.

The client has a slurred speech.

The​ client's facial expression shows no emotion.

Assessing an older adult with Parkinson Disease

Which is the main pathology of Parkinson disease that causes changes in muscular and sensory​ function?

Reduction of dopamine in the brain

Which clinical manifestation would be required to confirm the diagnosis of Parkinson​ disease?

Tremors at rest and bradykinesia

Tremor

Ridgity

Bradykinesia

Classic sign of Parkinson Disease

The ultimate confirmation of PD is:

A positive response to antiparkinsonian drug

Which symptom for a client with Parkinson disease​ (PD) is due to the lack of automatic muscle​ movement?

Alterations in sleep pattern

A client newly diagnosed with Parkinson disease asks the​ nurse, "What does dopamine do in the​ brain?" Which is the most appropriate​ response?

"Dopamine helps maintain coordinated motor​ movement."

Which type of therapy is used to manage problems with eating and​ swallowing?

An older adult client with Parkinson disease uses a​ walker, speaks in a slurred manner with poor​ articulation, but tries to speak louder to accommodate for this impairment. The client​ states, "I catch my daughter looking at me angrily​ sometimes, but she​ doesn't say​ anything." Which nursing diagnosis is the priority​?

The healthcare provider of an older adult client with advancing Parkinson disease suggested that the client start an exercise regime. Which exercise should the nurse​ recommend?

An older adult client was diagnosed with Parkinson disease 3 months ago. Since the​ diagnosis, the client has not gone out of the house. Which statement by the nurse is most​ appropriate?

"Can I ask why you​ aren't going out of the​ house?"

The daughter of an older adult client with advancing Parkinson disease tells the nurse that they need to dress their mother each​ morning, because the mother is​ "not fast​ enough." Which is the most appropriate response from the​ nurse?

"It is best for you to let your mother dress herself for as long as she​ can."

A client with Parkinson disease​ (PD) is prescribed an anticholinergic agent to treat tremors and rigidity. The nurse should teach the client about which adverse effect they may experience from this​ medication?

Dry Mouth and Lost of Perspiration.

A nurse is preparing a presentation on Parkinson disease​ (PD) for a health fair at a local community center. Which information should the nurse include in the​ presentation?

Parkinson disease usually affects people older than the age of 60 years.

The cause of PD is not known. There is no evidence of an infection that causes Parkinson disease.

The nurse observed a client with Parkinson disease frequently wiping their mouth with a handkerchief. After the nurse requested a prescription for an anticholinergic medication from the healthcare​ provider, the client​ asked, "I feel​ better, why do I need another​ medication?" Which response by the nurse is​ correct?

"It will help reduce tremors and uncontrolled​ drooling."

Increasing fluid intake

Increasing fiber intake

Recommendation the nurse should make to a client with Parkinson disease who reports​ constipation

The nurse is assessing a client with Parkinson disease​ (PD). Which factor should the nurse include in the​ assessment?

Response to medication, Cognitive deficits and Bowel changes

A client with Parkinson disease​ (PD) complains of increased tremor while eating. Which action should the nurse​ recommend?

Liquefying all meals and drinking them through a straw

The nurse is caring for a client with Parkinson disease​ (PD) who reports problems with stiffness and the ability to move. Which action by the nurse will address the​ client's mobility?

Recommend a regular exercise routine and walking

The client diagnosed with Parkinson's disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?

Difficulty swallowing and immobility.

The client diagnosed with PD is being discharged on carbidopa/levodopa (Sinemet), an antiparkinsonian drug. Which statement is the scientific rationale for combining these medications?

Carbidopa makes more levodopa available to the brain.

Is the most effective drug treatment for PD.

The nurse caring for a client diagnosed with Parkinson's disease writes a problem of "impaired nutrition." Which nursing intervention would be included in the plan of care?

Offer six (6) meals per day with a soft consistency.

The nurse is planning the care for a client diagnosed with Parkinson's disease. Which would be a therapeutic goal of treatment for the disease process?

The client will be able to carry out activities of daily living.

The nurse researcher is working with clients diagnosed with Parkinson's disease.Which is an example of an experimental therapy?

Fetal tissue transplantation.

The client diagnosed with Parkinson's disease is being discharged. Which statement made by the significant other indicates an understanding of the discharge instructions?

"I will schedule appointments late in the morning after his morning bath."

Scheduling appointments late in the morning gives the client a chance to complete ADLs without pressure and allows the medications time to give the best benefits.

The nurse is admitting a client with the diagnosis of Parkinson's disease. Which assessment data support this diagnosis?

Masklike facies and a shuffling gait.

Which is a common cognitive problem associated with Parkinson's disease?

Memory deficits are cognitive impairments. The client may also develop a dementia.

The nurse is conducting a support group for clients diagnosed with Parkinson's disease and their significant others. Which information regarding psychosocial needs should be included in the discussion?

The client may have rapid mood swings and become easily upset.

A patient who has been taking bromocriptine (Parlodel) and benztropine (Cogentin) for Parkinson's disease is experiencing a worsening of symptoms. The nurse will anticipate that patient may benefit from:

Use of levodopa (L-dopa)-carbidopa (Sinemet).

A patient with Parkinson's disease has decreased tongue mobility and an inability to move the facial muscles. The nurse recognizes that these impairments commonly contribute to the nursing diagnosis of:

Impaired verbal communication related to difficulty articulating.

Coexisting dementia and depression are identified in a patient with Parkinson's disease. The nurse anticipates that the greatest improvement in the patient's condition will occur with administration of:

Dopaminergic agents and antidepressant drugs.

The nurse decides that learning has been effective when the patient with Parkinson's makes which of the following statements:

"I should report any burning when I void".

UTI are a big concern with Parkinson's patients, so these symptoms should be reported

Constipation

Excessive sweating

Depression

Kyphosis

Daytime sleepiness

Bradykinesia

The nurse should instructs the family of a patient with Parkinson's to watch for all of the following complications

When planning care for a patient diagnosed with Parkinson disease (PD), which of these patient outcomes should receive priority in the patient's plan of care?

Toileting and bathing independently

A patient diagnosed with Parkinson disease (PD) is prescribed levodopa. The medication therapy can be considered effective when the healthcare provider assesses improvement in which of the following?

The nurse identifies the nursing diagnosis of impaired physical mobility related to bradykinesia for a patient with Parkinson's disease. To assist the patient to ambulate safely, the nurse should:

Instruct the patient to rock from side to side to initiate leg movement.

A patient has a new prescription for levodopa (L-dopa) to control symptoms of Parkinson's disease. Which assessment data obtained by the nurse may indicate a need for a decrease in the dose?

The patient's blood pressure is 90/46 mm Hg.

Hypotension is an adverse effect of L-dopa, and the nurse should check with the health care provider before giving the medication.

A patient is seen in the health clinic with symptoms of a stooped posture, shuffling gait, and pill rolling-type tremor. The nurse will anticipate teaching the patient about:

The client is admitted with Parkinson's disease. His face is expressionless and his speech is monotone. Which of the following observations is the most accurate?

These are common symptoms of Parkinson's disease that produce an undesired façade of an alert and responsive individual

When prioritizing care, which of the following patients should the nurse see first?

A) The 52 year old patient who is admitted for a relapse of MS day three whose being treated effectively with Solu-Medrol

B) The patient who has been put on seizure precautions 24 hours ago

C) The 32 year old female with a recent diagnosis of Guillain-Barre syndrome

D) The 65 year old man who has just been diagnosed with early stage Parkinson's disease

Answer: C. Guillain Barre syndrome is a medical emergency due to its high potential for respiratory failure and autonomic dysfunction.

Which nursing approach is the most helpful to a client with Parkinson's disease who is experiencing freezing of gait with difficulty initiating Movement?

Tell the client to march in place

What is an initial sign of Parkinson's disease?

The nurse develop a teaching plan for a client newly diagnosed with Parkinson's disease. Which topic is the most important to include in the plan?

Maintaining a safe enviroment

The nurse observes that when client with Parkinson's disease unbuttons the shirt, the upper arm tremors disappear. Which statement best guides the nurses analysis of this observation about the clients tremors?

The tremors sometimes disappear with purposeful and voluntary movements

At what time of say should the nurse encourage a client with Parkinson's disease to schedule the most demanding physical activities to minimize the effects of hypokinesia?

To coincide with the peak action of drug therapy

Which goal is the most realistic for a client diagnosed with Parkinson's disease?

To maintain optimal body function

Which of the goals is collaboratively established by the client with Parkinson's disease, nurse and physical therapist?

To maintain joint flexibility

A client is being switched from levodopa to carbidopa-levodopa. The nurse should monitor for which complication during medication changes and dosage adjustments?

A client with Parkinson's disease needs a long time to complete morning care but becomes annoyed when the nurse offers assistance and refuses all help. Which action is the nurses best initial response in this situation?

Praise the client for the desire to be independent and give extra time and encouragement

A nurse is reinforcing teaching with a client who has Parkinson's disease and has a new prescription for bromocriptine. Which of the following instructions should the nurse include in the teaching?

Rise slowly when standing

Pill-rolling tremor at fingers

Shuffling gait

Drooling

Lack of facial expression

Assessing a client for manifestations of Parkinson's disease.

A nurse is caring for a patient who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?

Give the client extra time to perform activities

A client with parkinsons disease has received a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe the UAP performing all of these actions. For which action must you intervene?

Performing the clients complete bathing and oral care

A nurse is teaching a client who has a new prescription for levodopa/carvedopa for Parkinson's disease. Which of the following instructions should the nurse include?

Take this medication with food

The older adult client diagnosed with Parkinson's disease has been prescribed the combination medication carvedopa/levadopa. Which data indicates the medication is effective?

The client is able to walk upright without stumbling

Which statement made by the wife of a client diagnosed with Parkinson's disease indicates the medication teaching is effective?

"The medications provide symptom management, but the effects may not last."

when obtaining a health history, the nurse expects a client with a recent diagnosis of Parkinsons disease to report which sign or symptom?

While caring for a client who has been recently diagnosed with Parkinson's disease, the nurse should understand that:

Mood fluctuations may occur

While assessing a patient with Parkinson's Disease, you note the patient's arms slightly jerk as you passively move them toward the patient's body. This is known as:

A patient with Parkinson's Disease has slow movements that affects their swallowing, facial expressions, and ability to coordinate movements. As the nurse you will document the patient has:

A patient with Parkinson Disease is experiencing weight loss due to difficulty chewing and swallowing. Which meal option below is the best for this patient?

Scrambled eggs with a side of cottage cheese.

The patient should have a diet of soft foods that are easy to swallow and chew.

As the home health nurse you are helping a patient with Parkinson's Disease get dressed. What item gathered by the patient to wear should NOT be worn?

Rubber sole shoes can make walking difficulty, especially when the patient has a shuffling gait because these type of shoes tend to stick to the floor and can cause the patient to trip.

A patient is prescribed to take Carbidopa/Levodopa (Sinemet). As the nurse you know that which statement is INCORRECT about this medication:

This medication is most commonly prescribed with a vitamin B6 supplement.

A physician orders a patient to take Benztropine (Cogentin). The patient has never taken this medication before and is due to take the first dose at 1000. What statement by the patient requires you to hold the dose and notify the physician?

"I forgot to tell the doctor I take eye drops for my glaucoma."

This medication is contraindicated for patients with glaucoma

A patient taking levodopa/carbidopa [Sinemet] for Parkinson disease experiences frequent "on-off" episodes (i.e., the abrupt loss of effect). Which action by the nurse is best?

Instruct the patient to avoid high-protein foods.

Meals high in protein can reduce therapeutic responses to levodopa and may trigger an abrupt loss of effect.

A patient is prescribed the dopamine agonist pramipexole [Mirapex]. Which statement made by the patient indicates a need for further teaching?

"This drug will stop the progression of Parkinson disease."

Dopamine agonists will improve the patient's ability to complete activities of daily living, but they are not a cure and will not delay the progression of Parkinson disease.

What is the relationship of dopamine and acetylcholine in the brain of clients with Parkinson's disease?

There is an imbalance in the brain, with not enough dopamine and too much acetylcholine.

Which nursing diagnosis is the priority when caring for a client with Parkinson's disease?

Which statement to the family of a client with Parkinson's is best to make to support the care of their loved one?

"It is important to encourage independence by allowing your loved one to continue perform tasks independently, even if it takes more time than before."

Clients with Parkinson's disease can collaborate with which members of the health care team to get assistance in making clothing choices, using eating utensils and drinking cups, and carrying objects?

Mild to severe shaking in the hand or other extremity is best classified as which type of dyskinesia?

When assessing the medication regimen for a client with Parkinson's disease, what is the first thing that should be completed?

Assessing the client's knowledge about their prescribed medications

Which goal is most realistic for a client diagnosed with Parkinson's disease?

What are the goals for Parkinson's disease?

What is a nurse's goal when treating Parkinson's disease?

What is the best type of exercise for a person with Parkinson's disease?