A client diagnosed with Parkinson's disease is struggling to adjust to the condition. The nurse educates the family on supporting the client with activities of daily living. Which statement by the family indicates that the teaching was effective?

We should plan for only a few activities

We should cluster activities at the same time

We should encourage and praise the client's efforts to carry out activities of daily living

We should assist with all daily living activities

Answer and Explanation

The Correct Answer is C

Choice A reason: While planning activities is important, limiting them to only a few does not fully support the client's independence and participation. Encouraging the client to engage in as many activities as they can manage, with appropriate rest breaks, is more beneficial.

Choice B reason: Clustering activities at the same time can lead to fatigue and overwhelm for a client with Parkinson's disease. It's better to space activities throughout the day to allow for adequate rest and recovery.

Choice C reason: Encouraging and praising the client's efforts to carry out activities of daily living is essential for promoting their independence and self-esteem. Positive reinforcement helps motivate the client and reinforces their ability to manage daily tasks despite their condition.

Choice D reason: Assisting with all daily living activities can lead to dependence and a decrease in the client's confidence and autonomy. The goal is to support the client in maintaining as much independence as possible, providing assistance only when necessary.

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

Explanation

Choice A reason: A high purine diet is a risk factor for gout because purines are metabolized into uric acid, which can accumulate and form crystals in the joints.

Choice B reason: Being well-hydrated is not a risk factor for gout; in fact, adequate hydration helps prevent gout attacks by diluting and promoting the excretion of uric acid.

Choice C reason: Diuretic use can increase the risk of gout by reducing the kidneys' ability to excrete uric acid, leading to higher levels in the blood.

Choice D reason: Starvation dieting can lead to an increase in uric acid production, raising the risk of gout attacks.

Choice E reason: Having a normal BMI is not a risk factor for gout. Obesity is a known risk factor, while maintaining a healthy weight can reduce the risk of developing gout.

A. Urinary retention B. Bradycardia C. Diarrhea D. Vomiting

Correct Answer is A

Explanation

Choice A reason: Atropine is an anticholinergic medication that blocks the effects of the parasympathetic nervous system. One of its effects is relaxation of the smooth muscles in the bladder, which can lead to urinary retention. This occurs because the bladder's ability to contract is inhibited, making it difficult for the patient to void.

Choice B reason: Bradycardia is not an expected effect of atropine. In fact, atropine is often used to treat bradycardia by increasing heart rate. It works by blocking the vagus nerve's influence on the heart, which normally acts to slow the heart rate. Therefore, atropine would be expected to cause an increase in heart rate, not a decrease.

Choice C reason: Diarrhea is not a common effect of atropine. Atropine works by reducing the activity of the gastrointestinal tract, leading to a decrease in bowel movements and potentially causing constipation rather than diarrhea. Anticholinergic drugs like atropine reduce gastrointestinal motility, which can lead to a slower passage of food through the intestines.

Choice D reason: Vomiting is not typically associated with the administration of atropine. While nausea and vomiting can be side effects of many medications, atropine more commonly causes dry mouth, blurred vision, and constipation. The medication's action on the gastrointestinal tract tends to slow digestive processes rather than stimulate vomiting.

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A client diagnosed with Parkinson's disease is struggling to adjust to the condition. The nurse educates the family on supporting the client with activities of daily living. Which statement by the family indicates that the teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

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

Explanation

A client received atropine intraoperatively for symptomatic sinus bradycardia during a cardiac catheterization. In the immediate postoperative period, the nurse monitors the client for which effects of the medication?

Correct Answer is A

Explanation

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In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?