A 70-year-old client with Parkinson's disease is receiving carbidopa/levodopa to help relieve the symptoms associated with the disease. Which finding will demonstrate the effectiveness of the medication.

Muscle control.

Mental state.

Bladder control.

Nutritional status.

Answer and Explanation

The Correct Answer is A

A. Muscle control: Carbidopa/levodopa increases dopamine levels in the brain, which improves motor function, reducing tremors, rigidity, and bradykinesia. Improved muscle control shows the drug is effective.
B. Mental state: While Parkinson’s can affect cognition, carbidopa/levodopa primarily targets motor symptoms, not mental function.
C. Bladder control: Urinary problems may occur in Parkinson’s disease, but these are not the primary focus of carbidopa/levodopa therapy.
D. Nutritional status: Nutrition can improve if motor control improves, but it is an indirect effect, not the main indicator of drug effectiveness.

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Correct Answer is ["A","D","E"]

Explanation

A. Dependent edema:
Fluid volume overload leads to increased hydrostatic pressure in capillaries, causing fluid to shift into the interstitial spaces, particularly in dependent areas like the legs, ankles, and sacrum.

B. Inelastic skin turgor:
Inelastic skin turgor is typically a sign of dehydration, not fluid overload. Overhydrated clients often have taut, stretched skin, not decreased elasticity.

C. Complaints of thirst:
Thirst is a compensatory mechanism for dehydration or hypernatremia, not for fluid overload.

D. Tachycardia:
Excess fluid increases the workload of the heart, which can lead to an increased heart rate as a compensatory mechanism.

E. Moist lung sounds:
Fluid volume overload can cause pulmonary congestion, leading to crackles or moist lung sounds due to fluid accumulation in the alveoli.

A. Obtain the necessary isolation supplies. B. Notify the dietary department of the change. C. Explain the precautions to the family. D. Update the client's plan of care.

Correct Answer is A

Explanation

A. Obtain the necessary isolation supplies:
This is within UAP scope and supports infection control.

B. Notify the dietary department of the change:
This requires licensed staff as it involves coordination of care.

C. Explain the precautions to the family:
Teaching is a PN/RN responsibility, not a UAP task.

D. Update the client's plan of care:
This is a nursing responsibility and outside the UAP’s scope.

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A 70-year-old client with Parkinson's disease is receiving carbidopa/levodopa to help relieve the symptoms associated with the disease. Which finding will demonstrate the effectiveness of the medication.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assessing a client who received a large volume of IV fluids over a short period of time. Which finding (s) should the PN expect this client to exhibit? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

While caring for a client with a new prescription to initiate droplet precautions, which task can the practical nurse (PN) assign to the unlicensed assistive personnel (ÚAP)?

Correct Answer is A

Explanation

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