A new nurse in a long-term care facility is caring for a client diagnosed with Parkinson's disease (PD). The nurse should note that which one of the following actions is likely to be observed during the assessment?

Changing facial expression

Frequent movement

Resting hand tremors

Fast movements

None of the above

Answer and Explanation

The Correct Answer is C

Choice A reason: Changing facial expression is not a likely action to be observed during the assessment, as PD causes reduced facial expression or mask-like face. The client may have difficulty blinking, smiling, or showing emotions.

Choice B reason: Frequent movement is not a likely action to be observed during the assessment, as PD causes slowed movement or bradykinesia. The client may have difficulty initiating, continuing, or completing movements.

Choice C reason: Resting hand tremors is a likely action to be observed during the assessment, as PD causes rhythmic shaking of the hands, fingers, or other body parts. The tremors usually occur when the affected limb is at rest and may decrease when the client is performing tasks.

Choice D reason: Fast movements is not a likely action to be observed during the assessment, as PD causes impaired movement or dyskinesia. The client may have involuntary, jerky, or twisting movements that are often unpredictable and uncontrollable.

Choice E reason: None of the above is not the correct answer, as there is one choice that is a likely action to be observed during the assessment.

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Correct Answer is A

Explanation

Choice A reason: This is the correct answer because baroreceptor function diminishes with age, and this can affect the regulation of blood pressure and heart rate. Baroreceptors are sensory receptors that detect changes in blood pressure and send signals to the brain to adjust the heart rate and blood vessel tone accordingly. When a person exercises, the blood pressure and heart rate increase to meet the increased oxygen demand of the muscles. When a person stops exercising, the blood pressure and heart rate should decrease gradually to return to the resting state. However, if a person does not cool down properly after exercising, the blood pressure and heart rate can drop suddenly, causing dizziness, fainting, or cardiac arrhythmias. This is especially true for older adults, whose baroreceptors are less sensitive and responsive to blood pressure changes. Therefore, the nurse should instruct the older man to cool down after exercising to prevent these complications.

Choice B reason: This is incorrect because sensory perception diminishes with age, but this is not related to the importance of cooling down after exercising. Sensory perception is the ability to perceive stimuli from the environment, such as sight, hearing, touch, smell, or taste. Sensory perception can decline with age due to various factors, such as age-related changes in the sensory organs, nerve damage, or diseases. This can affect the quality of life, communication, and safety of older adults, but it does not explain why cooling down after exercising is important.

Choice C reason: This is incorrect because cardiac output diminishes with age, but this is not related to the importance of cooling down after exercising. Cardiac output is the amount of blood pumped by the heart per minute, and it depends on the heart rate and the stroke volume. Cardiac output can decline with age due to various factors, such as age-related changes in the heart muscle, valves, or arteries, or diseases. This can affect the ability of the heart to meet the oxygen demand of the body, especially during exercise, but it does not explain why cooling down after exercising is important.

Choice D reason: This is incorrect because mobility capacity decreases with age, but this is not related to the importance of cooling down after exercising. Mobility capacity is the ability to move and perform physical activities, such as walking, climbing stairs, or lifting objects. Mobility capacity can decrease with age due to various factors, such as age-related changes in the muscles, bones, or joints, or diseases. This can affect the functional status, independence, and well-being of older adults, but it does not explain why cooling down after exercising is important.

A. Use of a commode close by to where the client spends most of his time B. Development of a toileting schedule C. Use of an external catheter D. Bladder diary to be completed by the client's wife

Correct Answer is ["A","B"]

Explanation

Choice A reason: Use of a commode close by to where the client spends most of his time can reduce the distance and time required for the client to reach the toilet, and thus prevent accidents and embarrassment. It can also promote the client's independence and dignity.

Choice B reason: Development of a toileting schedule can help the client to establish a routine and habit of voiding at regular intervals, and thus prevent the bladder from becoming too full or overactive. It can also reduce the risk of urinary tract infections and skin breakdown.

Choice C reason: Use of an external catheter is not recommended for older adults with dementia, as it can cause irritation, infection, and obstruction of the urinary tract. It can also increase the client's confusion and agitation, and interfere with his mobility and comfort.

Choice D reason: Bladder diary to be completed by the client's wife is not a direct intervention to manage the incontinence, but rather a tool to assess the pattern and severity of the problem. It can help the nurse to identify the possible causes and triggers of the incontinence, and to evaluate the effectiveness of the interventions. However, it may not be feasible or reliable for the client's wife to complete the diary, as she may have other responsibilities or difficulties in observing and recording the client's urinary habits.

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A new nurse in a long-term care facility is caring for a client diagnosed with Parkinson's disease (PD). The nurse should note that which one of the following actions is likely to be observed during the assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is ["A","B"]

Explanation

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