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Exam 2: NR325 / NR 325 (
Update 2025 / 2026) Adult Health II Questions & Answers - Chamberlain
Question:
What is Parkinson's disease?
Answer:
A disease that affects movement, balance, and other neuromuscular functions
Question:
What are the manifestations of Parkinson's?
Answer:
gradual onset after 50 yrs, mask-like blank expression, stooped posture, pill rolling tremors (in hands/arms, often at rest, worsens w/stress), shuffling propulsive gait, bradykinesia, possible mental deterioration, depression, muscle rigidity (resistance to passive movements/jerky slow movements)
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Question:
What is the mnemonic for Parkinson's?
Answer:
TRAP: Tremor, Rigidity, Akinesia/bradykinesia, Postural instability
Question:
What are the medications for Parkinson's?
Answer:
Levodopa, carbidopa (taken with levodopa), benztropine (anticholinergic)
Question:
What are some considerations for Levodopa?
Answer:
increases dopamine, don't take with food (protein inhibits absorption), unstable with effectiveness (on-time: no tremors & off-time: tremors), less effective over time (increase dose/try another med)
Question:
What are some considerations for Benztropine?
Answer:
minimizes tremors, monitor for CNS depression 2 / 4
Question:
What is delirium?
Answer:
acute confusion that develops quickly within hrs or days
Question:
What can cause delirium?
Answer:
Long hospital stays, altered sensory input (lack of glasses/hearing aids, etc...), infections, electrolyte/fluid imbalances, change in day/night (sundowning), stress, surgery, Dx of dementia/Alzheimer's, alcohol/drug withdrawal, restraints
Question:
What is the plan of care for delirium?
Answer:
talking with the patient and explaining what is happening, reorienting them, limiting stimulants and naps, treating the cause of the delirium
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Question:
What is dementia and Alzheimer's?
Answer:
slow progressive and irreversible decline in interactive abilities and memory
Question:
What are some of the manifestations of dementia?
Answer:
forgetfulness with moments of clarity at the beginning, incontinence of bowel and bladder
Question:
What are the nursing actions for dementia?
Answer:
Limiting choices and redirecting when the patient goes off-track, having stuff from home/family visit during the day, educating the family about the disease progression
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