A nurse is providing teaching to the partner of a client who has Parkinson's disease. Which of the following statements should the nurse include in the teaching?
"Ensure that she adheres to a low-protein diet."
"Have her complete as many activities as possible by herself."
"Give her the prescribed medications after meals."
"Schedule physical therapy sessions for her early in the morning."
The Correct Answer is D
Rationale:
A. "Ensure that she adheres to a low-protein diet." A high-protein meal may interfere with the absorption of levodopa, but a complete low-protein diet is not recommended. The timing of protein intake should be considered rather than restricting it entirely.
B. "Have her complete as many activities as possible by herself." While promoting independence is important, clients with Parkinson’s disease may require assistance, especially during "off" periods. Overemphasis on independence can increase the risk of injury and frustration.
C. "Give her the prescribed medications after meals." Levodopa should usually be taken on an empty stomach or away from high-protein meals to enhance absorption. Taking it after meals can reduce effectiveness unless GI upset occurs.
D. "Schedule physical therapy sessions for her early in the morning." Parkinson’s symptoms often worsen as the day progresses. Morning sessions, when medication is most effective, can optimize motor performance and reduce fatigue during therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Platelets 120,000/mm³: Thrombocytopenia is common in advanced cirrhosis due to splenic sequestration and decreased production of thrombopoietin by the liver. A count of 120,000/mm³ is below the normal range and is an expected finding in liver disease.
B. Hgb 15 g/dL: Hemoglobin levels are often decreased in clients with advanced cirrhosis due to chronic blood loss, nutritional deficiencies, and bone marrow suppression. A value of 15 g/dL is within normal limits and not typical in this condition.
C. Sodium 140 mEq/L: Hyponatremia is frequently seen in cirrhosis due to water retention and dilutional effects from ascites and hypoalbuminemia. A sodium level of 140 mEq/L is normal and would not be expected in advanced disease.
D. BUN 16 mg/dL: While BUN can vary, it is often low or normal in cirrhosis because the liver has a reduced capacity to convert ammonia to urea. A BUN of 16 mg/dL is normal and does not reflect impaired liver function.
Correct Answer is D
Explanation
Rationale:
A. Clostridium difficile: Although C. difficile is a significant healthcare-associated infection and is often monitored within facilities, it is not classified as a nationally notifiable infectious disease by the CDC. Reporting is usually done internally or at the state level.
B. Herpes simplex: Herpes simplex virus (HSV), both oral and genital, is a common infection but is not required to be reported nationally. Surveillance is not mandated unless linked to neonatal herpes cases or outbreaks in healthcare settings.
C. Pediculosis: Pediculosis (lice infestation) is a common and typically non-serious condition. It is not considered a reportable disease at the national level, though schools or daycare centers may have local reporting protocols.
D. Measles: Measles is a highly contagious viral disease that is nationally notifiable in the U.S. due to its potential for outbreaks and serious complications. Prompt reporting is essential for public health tracking and outbreak control.
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