A client diagnosed with Parkinson's disease has developed slurred speech and drooling.
The nurse knows that these symptoms indicate which of the following?
The client is exhibiting signs of medication overdose.
Medication needs to be adjusted to higher doses.
The client is having an exacerbation.
The disease has entered the late stages.
The Correct Answer is D
Choice A rationale
Signs of medication overdose in Parkinson's disease typically include hallucinations, confusion, and dyskinesia (involuntary movements), rather than slurred speech and drooling. These symptoms are more associated with disease progression.
Choice B rationale
Increasing the medication dose might help in early or middle stages, but slurred speech and drooling indicate more advanced disease stages. Adjusting the dose might not address these specific symptoms effectively.
Choice C rationale
An exacerbation in Parkinson's disease would typically involve a worsening of existing symptoms like tremors, rigidity, and bradykinesia (slowness of movement). Slurred speech and drooling suggest a more chronic progression rather than an acute exacerbation.
Choice D rationale
In the late stages of Parkinson's disease, symptoms can include significant motor dysfunction, slurred speech, and excessive drooling due to impaired swallowing and muscle control. These are signs of advanced disease progression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Positioning the client flat as directed is the priority intervention after a lumbar puncture to prevent cerebrospinal fluid (CSF) leakage, which can lead to a post-lumbar puncture headache. This position helps maintain normal CSF pressure and promotes sealing of the puncture site.
Choice B rationale
Leaving the client to rest without performing any assessments is not appropriate, as continuous monitoring is necessary to detect any complications such as bleeding or changes in neurological status. Regular assessments help ensure timely intervention if issues arise.
Choice C rationale
Providing caffeine-rich drinks is sometimes recommended to alleviate headaches caused by CSF leakage post-lumbar puncture. However, it is not the priority intervention immediately after the procedure, which focuses on positioning and monitoring.
Choice D rationale
Avoiding analgesic agents is incorrect. Pain management is an important aspect of care post-lumbar puncture, and appropriate analgesics should be administered as needed. The focus should be on positioning and monitoring, not withholding pain relief.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Bradycardia (slow heart rate) is one of the key components of Cushing's triad, which indicates increased intracranial pressure and impending herniation.
Choice B rationale
Bradypnea (slow respiratory rate) is another manifestation of Cushing's triad and reflects brainstem compression.
Choice C rationale
Hypertension (high blood pressure) is the third component of Cushing's triad, resulting from the body's attempt to maintain cerebral perfusion.
Choice D rationale
Tachycardia (rapid heart rate) is not a sign of Cushing's triad and is not associated with increased intracranial pressure.
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