A nurse is reinforcing teaching to the family of a client who has Parkinson's disease. Which of the following instructions should the nurse include?
Limit the client's physical activity.
Provide the client a cane.
Offer the client 3 large meals a day.
Speak loudly to the client.
The Correct Answer is B
A. Limiting the client's physical activity is not recommended for clients with Parkinson's disease. Physical activity, including exercises to improve strength, balance, and flexibility, is essential to manage symptoms and maintain mobility.
B. Providing the client a cane is appropriate. A cane can help with balance and stability, especially as the client experiences motor symptoms such as rigidity and bradykinesia. It can reduce the risk of falls.
C. Offering the client 3 large meals a day is not ideal. Smaller, more frequent meals are recommended for clients with Parkinson's disease, as they may experience difficulty swallowing, digestion issues, or a reduced appetite.
D. Speaking loudly to the client is not necessary unless the client has difficulty hearing. It is more important to speak clearly and at a normal volume, as clients with Parkinson's disease may have issues with speech (e.g., soft or slurred speech).
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. A blood pressure cuff is not directly needed to assess neurological status. While blood pressure is important to monitor in neurological assessments, it is not the primary tool used for assessing neurological function.
B. A pen light is essential for assessing pupil reaction, which is a key part of a neurological exam. The nurse can use the pen light to check for pupil dilation, constriction, and reaction to light, which are important indicators of brain function.
C. A thermometer is useful for measuring body temperature but is not a primary tool for assessing neurological status. Although fever can be a sign of infection affecting the brain, it is not part of the basic neurological exam.
D. A stethoscope is useful for listening to heart and lung sounds, but it is not typically used for assessing neurological function. The pen light is the more appropriate tool for this purpose.
Correct Answer is A
Explanation
A. Vitamin K is the antidote for excessive anticoagulation caused by warfarin. It helps to reverse the effects of warfarin by promoting the synthesis of clotting factors.
B. Naloxone is used to reverse opioid overdose, not related to warfarin or its effects.
C. Disulfiram is used to treat alcohol use disorder by causing unpleasant effects when alcohol is consumed, and is unrelated to warfarin.
D. Protamine is used to reverse the effects of heparin, not warfarin.
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