A nurse is planning care for a client who has Parkinson's disease. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Encourage the client to perform activities of daily living (ADLs) independently

Provide the client with a high-protein, low-carbohydrate diet

Administer levodopa-carbidopa as prescribed

Teach the client to use assistive devices such as a walker or cane

Monitor the client for orthostatic hypotension

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason:

This is a correct answer. Encouraging the client to perform ADLs independently helps to maintain their functional ability, self-esteem, and quality of life. The nurse should provide assistance and supervision as needed, but avoid doing everything for the client.

Choice B reason:

This is an incorrect answer. Providing the client with a high-protein, low-carbohydrate diet can interfere with the absorption and effectiveness of levodopa-carbidopa, which is the main medication used to treat Parkinson's disease. The nurse should provide the client with a balanced diet that includes adequate fluids and fiber.

Choice C reason:

This is a correct answer. Administering levodopa-carbidopa as prescribed helps to reduce the symptoms of Parkinson's disease such as tremors, rigidity, bradykinesia, and postural instability. Levodopa is converted to dopamine in the brain, which is deficient in clients who have Parkinson's disease. Carbidopa prevents the breakdown of levodopa in the peripheral tissues, allowing more levodopa to reach the brain.

Choice D reason:

This is a correct answer. Teaching the client to use assistive devices such as a walker or cane helps to improve their mobility, balance, and safety. The nurse should also teach the client strategies to overcome freezing episodes, such as rocking from side to side or stepping over an imaginary line.

Choice E reason:

This is a correct answer. Monitoring the client for orthostatic hypotension helps to prevent falls and injuries. Orthostatic hypotension is a common complication of Parkinson's disease and its medications, which can cause a sudden drop in blood pressure when changing positions. The nurse should instruct the client to change positions slowly and report any symptoms such as dizziness, lightheadedness, or fainting.

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

Explanation

Choice A reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the sensory nerves that innervate the lower half of the body, resulting in loss of sensation below the waist.

Choice B reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the motor nerves that innervate the lower half of the body, resulting in paralysis of the lower extremities.

Choice C reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the autonomic nerves that innervate the bladder and bowel, resulting in impaired bladder and bowel control.

Choice D reason:

This is an incorrect answer. A spinal cord injury at the level of T6 does not affect the cranial nerves that innervate the pharynx and esophagus, which are responsible for swallowing.

Choice E reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the autonomic nerves that innervate the sweat glands and thermoregulatory centers, resulting in decreased sweating and shivering.

A. Elevated cerebrospinal fluid (CSF) protein level B. Decreased serum creatinine kinase (CK) level C. Increased CSF white blood cell (WBC) count D. Decreased serum sodium level

Correct Answer is C

Explanation

Choice A reason:

This is an incorrect answer. Elevated CSF protein level is a common finding in clients who have GBS due to demyelination of peripheral nerves. It does not indicate infection or inflammation and does not require immediate intervention.

Choice B reason:

This is an incorrect answer. Decreased serum CK level is a normal finding in clients who have GBS because CK is released from damaged muscle tissue and GBS does not affect muscle cells directly.

Choice C reason:

This is a correct answer. Increased CSF WBC count indicates infection or inflammation in the central nervous system (CNS), which can be a complication of GBS or a sign of another condition such as meningitis or encephalitis. The nurse should report this finding to the provider for further evaluation and treatment.

Choice D reason:

This is an incorrect answer. Decreased serum sodium level can occur.

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A nurse is planning care for a client who has Parkinson's disease. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a spinal cord injury at the level of T6. Which of the following findings should the nurse expect? (Select all that apply.)

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

Explanation

A nurse is reviewing the laboratory results of a client who has Guillain-Barré syndrome (GBS). Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

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