MCA II Exam 4

MCA II Exam 4
Which clinical manifestation are found in the client diagnosed with stage 3 Parkinson
Disease? Select all that apply
A. Akinesia
B. Mask-like face
C. Postural Instability
D. Unilateral limb involvement
E. Increased gait disturbances
Parkinson disease is a progressive neurodegenerative disease that is one of the most
common neurological disorders of older adults. stage 3 of Parkinson disease is
characterized by postural instability and increased gait disturbances. the "masklike" face
begins in stage 2 and continues in stage 3. akinesia is manifested in stage 4 of the
disease. in stage 1 of Parkinson disease, only unilateral limb involvement is seen, but it
progresses to bilateral in later stages.
Which client statement indicates that the instructions to a client with a seizure disorder
receiving phenytoin and phenoabarbital are understood?
A. I will not have any seizures on this medication
B. These medicines must be continued to prevent falls and injury
C. Stopping the medications can cause continuous seizures and I may die
D. By staying on the medications I will prevent post seizure confusion
combination therapy suggests that this client has seizures that are difficult to control.
sudden withdrawal of any antiepileptic medication can cause onset of frequent seizures
or even status epilepticus. death can occur if seizures are continuous due to a lack of
adequate oxygenation and cardiac irregularities. it is important to take medication as
prescribed to lessen the frequency of seizures; there is no guarantee that seizures will
stop. antiepileptic medications are not prescribed to prevent falls and injury and the
added central nervous system (CNS) depression increases fall risk. although seizures
may occur while the client is taking the medications, the medications do not stop postseizure confusion.
Which information would the nurse include in the teaching plan for a client diagnosed
with epilepsy?
a. the client will take anticonvulsant medications for life
b. individuals taking phenytoin must floss their teeth regularly
c. a diagnosis of epilepsy prevents individuals from ever obtaining a driver's license
d. loss of consciousness during a seizure requires emergency evaluation

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