H. CH 65 PD Flashcards
- The nurse is planning the care of a patient with Parkinsons disease. The nurse should be aware that treatment will focus on what pathophysiological phenomenon?
A) Premature degradation of acetylcholine
B) Decreased availability of dopamine
C) Insufficient synthesis of epinephrine
D) Delayed reuptake of serotonin
B) Decreased availability of dopamine
An older adult has encouraged her husband to visit their primary care provider, stating that she is concerned that he may have Parkinsons disease. Which of the wifes descriptions of her husbands health and function is most suggestive of Parkinsons disease?
A) Lately he seems to move far more slowly than he ever has in the past.
B) He often complains that his joints are terribly stiff when he wakes up in the morning.
C) Hes forgotten the names of some people that weve known for years.
D) Hes losing weight even though he has a ravenous appetite.
A) Lately he seems to move far more slowly than he ever has in the past.
A patient has just been diagnosed with Parkinsons disease and the nurse is planning the patients subsequent care for the home setting. What nursing diagnosis should the nurse address when educating the patients family? A) Risk for infection B) Impaired spontaneous ventilation C) Unilateral neglect D) Risk for injury
D) Risk for injury
A patient is receiving ongoing nursing care for the treatment of Parkinsons disease. When assessing this patients gait, what finding is most closely associated with this health problem? A) Spastic hemiparesis gait B) Shuffling gait C) Rapid gait D) Steppage gait
B) Shuffling gait
The nurse caring for a patient diagnosed with Parkinsons disease has prepared a plan of care that would include what goal? A) Promoting effective communication B) Controlling diarrhea C) Preventing cognitive decline D) Managing choreiform movements
A) Promoting effective communication
The nurse is caring for a patient diagnosed with Parkinsons disease. The patient is having increasing problems with rising from the sitting to the standing position. What should the nurse suggest to the patient to use that will aid in getting from the sitting to the standing position as well as aid in improving bowel elimination?
A) Use of a bedpan
B) Use of a raised toilet seat
C) Sitting quietly on the toilet every 2 hours
D) following the outlined bowel program
B) Use of a raised toilet seat
A patient with suspected Parkinsons disease is initially being assessed by the nurse. When is the best time to assess for the presence of a tremor?
A) When the patient is resting
B) When the patient is ambulating
C) When the patient is preparing his or her meal tray to eat
D) When the patient is participating in occupational therapy
A) When the patient is resting
The clinic nurse caring for a patient with Parkinsons disease notes that the patient has been taking levodopa and carbidopa (Sinemet) for 7 years. For what common side effect of Sinemet would the nurse assesses this patient? A) Pruritus B) Dyskinesia C) Lactose intolerance D) Diarrhea
B) Dyskinesia
A patient with Parkinsons disease is undergoing a swallowing assessment because she has recently developed adventitious lung sounds. The patients nutritional needs should be met by what method? A) Total parenteral nutrition (TPN) B) Provision of a low-residue diet C) Semisolid food with thick liquids D) Minced foods and a fluid restriction
C) Semisolid food with thick liquids
The nurse is admitting a 52-year-old father of four into hospice care. The patient has a diagnosis of Parkinsons disease, which is progressing rapidly. The patient has made clear his preference to receive care at home. What interventions should the nurse prioritize in the plan of care?
A) Aggressively continuing to fight the disease process
B) Moving the patient to a long-term care facility when it becomes necessary
C) Including the children in planning their fathers care
D) Supporting the patients and familys values and choices
D) Supporting the patients and familys values and choices
