NCLEX Questions Parkinson Disease...

Parkinson's Disease NCLEX ScienceMedicine babydoe20 Save NCLEX Questions Parkinson Disease...20 terms SMathews926Preview Parkinson's Disease Practice Questi...29 terms martina_hughes Preview Amyotrophic Lateral Sclerosis NCLE...12 terms Courtney_Cooper7 Preview Parkins 11 terms Ang 73. 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?

• Masklike facies and shuffling gait.
• Difficulty swallowing and immobility.
• Pill rolling of fingers and flat affect.
• Lack of arm swing and bradykinesia.
• Difficulty swallowing places the client

at risk for aspiration. Immobility predisposes the client to pneumonia.Both clinical manifestations place the client at risk for pulmonary complications.

• 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?

• There will be fewer side effects with this combination than with carbidopa alone.
• Dopamine D requires the presence of both of these medications to work.
• Carbidopa makes more levodopa available to the brain.
• Carbidopa crosses the blood-brain barrier to treat Parkinson's disease.
• Carbidopa enhances the effects of

levodopa by inhibiting decarboxylase in the periphery, thereby making more levodopa available to the central nervous system. Sinemet is the most effective 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?

• Consult the occupational therapist for adaptive appliances for eating.
• Request a low-fat, low-sodium diet from the dietary department.
• Provide three (3) meals per day that include nuts and whole-grain breads.
• Offer six (6) meals per day with a soft consistency.
• The client's energy levels will not

sustain eating for long periods.Offering frequent and easy-to-chew (soft) meals of small proportions is the preferred dietary plan.

• The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a

medical-surgical unit. Which task should not be assigned to the UAP?

• Feed the 69-year-old client diagnosed with Parkinson's disease who is having

difficulty swallowing.

• Turn and position the 89-year-old client diagnosed with a pressure ulcer

secondary to Parkinson's disease.

• Assist the 54-year-old client diagnosed with Parkinson's disease with toilet-training

activities.

• Obtain vital signs on a 72-year-old client diagnosed with pneumonia secondary to

Parkinson's disease.

• The nurse should not delegate feeding

a client who is at risk for complications during feeding. This requires judgment that the UAP is not expected to possess.

• The charge nurse is making assignments. Which client should be assigned to the new

graduate nurse?

• The client diagnosed with aseptic meningitis who is complaining of a headache

and the light bothering his eyes.

• The client diagnosed with Parkinson's disease who fell during the night and is

complaining of difficulty walking.

• The client diagnosed with a cerebrovascular accident whose vitals signs are P 60,

R 14, and BP 198/68.

• The client diagnosed with a brain tumor who has a new complaint of seeing spots

before the eyes.

• Headache and photophobia are

expected clinical manifestations of meningitis. The new graduate could care for this client.

• 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 experience periods of akinesia throughout the day.
• The client will take the prescribed medications correctly.
• The client will be able to enjoy a family outing with the spouse.
• The client will be able to carry out activities of daily living.
• The major goal of treating PD is to

maintain the ability to function. Clients diagnosed with PD experience slow, jerky movements and have difficulty performing routine daily tasks.

• The nurse researcher is working with clients diagnosed with Parkinson's disease.

Which is an example of an experimental therapy?

• Sterotactic pallidotomy/thalamotomy.
• Dopamine receptor agonist medication.
• Physical therapy for muscle strengthening.
• Fetal tissue transplantation.
• Fetal tissue transplantation has shown

some success in PD, but it is an experimental and highly controversial procedure.

• The client diagnosed with Parkinson's disease is being discharged. Which statement

made by the significant other indicates an understanding of the discharge instructions?

• "All of my spouse's emotions will slow down now just like his body movements."
• "My spouse may experience hallucinations until the medication starts working."
• "I will schedule appointments late in the morning after his morning bath."
• "It is fine if we don't follow a strict medication schedule on weekends."
• 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?

• Crackles in the upper lung fields and jugular vein distention.
• Muscle weakness in the upper extremities and ptosis.
• Exaggerated arm swinging and scanning speech.
• Masklike facies and a shuffling gait.
• Masklike facies and a shuffling gait are

two clinical manifestations of PD.

• Which is a common cognitive problem associated with Parkinson's disease?
• Emotional lability.
• Depression.
• Memory deficits.
• Paranoia.
• 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 should discuss feelings about being placed on a ventilator.
• The client may have rapid mood swings and become easily upset.
• Pill-rolling tremors will become worse when the medication is wearing off.
• The client may automatically start to repeat what another person says.
• These are psychosocial manifestations

of PD. These should be discussed in the support meeting.

• The nurse is caring for clients on a medical-surgical floor. Which client should be

assessed first?

• The 65-year-old client diagnosed with seizures who is complaining of a headache

that is a "2" on a 1-to-10 scale.

• The 24-year-old client diagnosed with a T10 spinal cord injury who cannot move

his toes.

• The 58-year-old client diagnosed with Parkinson's disease who is crying and

worried about her facial appearance.

• The 62-year-old client diagnosed with a cerebrovascular accident who has a

resolving left hemiparesis.

• Body image is a concern for clients

diagnosed with PD. This client is the one client who is not experiencing expected sequelae of the disease. Terms (12) Hide definitions