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 D

Explanation

Choice A reason: Regular exercise should exceed 30 minutes three times a week, not not exceed. Exercise helps lower blood glucose levels and improve insulin sensitivity.

Choice B reason: A walking program is recommended for an older adult with diabetes, not not recommended. Walking is a low-impact, moderate-intensity exercise that can benefit people with diabetes.

Choice C reason: Insulin can not be discontinued if the individual adheres to the walking program, not most probably. Insulin is a vital hormone that regulates blood glucose levels and prevents complications from diabetes. Exercise alone is not enough to replace insulin therapy.

Choice D reason: The walking regimen needs to be done on a regularly scheduled basis. This is the correct answer because it helps the individual maintain a consistent blood glucose level and avoid hypoglycemia or hyperglycemia. It also helps the individual plan their insulin doses and meals accordingly.

A. Drinking large amounts of alcohol can relieve symptoms of essential tremor B. Motor tremors and slow movement accompany severe cognitive impairment C. It is advised to take levodopa-carbidopa on an empty stomach D. Lewy body dementia (LBD) is the most common form of dementia

Correct Answer is C

Explanation

Choice A reason: Drinking large amounts of alcohol can relieve symptoms of essential tremor is false because essential tremor is a different neurological disorder from PD, and alcohol can worsen PD symptoms or interact with medications.

Choice B reason: Motor tremors and slow movement accompany severe cognitive impairment is false because not all people with PD develop cognitive impairment, and the severity of motor and cognitive symptoms may not correlate.

Choice C reason: It is advised to take levodopa-carbidopa on an empty stomach is true because food, especially protein, can interfere with the absorption of levodopa-carbidopa, which is the main medication for PD.

Choice D reason: Lewy body dementia (LBD) is the most common form of dementia is false because Alzheimer's disease is the most common form of dementia, and LBD is a related but distinct condition that can affect some people with PD.

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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

An older adult diagnosed with Type II DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this client?

Correct Answer is D

Explanation

Which of the following statements is true about Parkinson disease (PD)?

Correct Answer is C

Explanation

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