A nurse is teaching the caregiver of a client who has Parkinson's disease. Which of the following instructions should the nurse include?

Allow the client extra time to perform ADLS.

Monitor the client for weight gain.

Instruct the client to look down at the feet when walking.

Provide the client with a low-protein diet.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Clients with Parkinson's disease often have motor difficulties and slowed movements. Allowing extra time for activities of daily living (ADLs) can help them maintain independence and reduce frustration.

Choice B rationale:

Weight gain is not a common manifestation of Parkinson's disease or a primary concern in its management.

Choice C rationale:

Instructing the client to look down at the feet when walking is not accurate advice for Parkinson's disease. It's important to maintain an upright posture and look ahead to improve balance and gait.

Choice D rationale:

A low-protein diet is not generally recommended for clients with Parkinson's disease, as protein can affect the absorption of levodopa, a common medication used in its management.

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Correct Answer is C

Explanation

Choice A rationale:

Drainage in the Hemovac is an expected finding postoperatively and is not as urgent as nonreactive pupils.

Choice B rationale:

Periorbital ecchymosis (bruising around the eyes) is not uncommon after a craniotomy and is not as urgent as nonreactive pupils.

Choice C rationale:

Nonreactive pupils can indicate a neurological emergency, such as increased intracranial pressure or potential damage to the cranial nerves. This finding requires immediate attention to prevent further complications.

Choice D rationale:

Hemoglobin level of 11 g/dL is within a normal range and is not a priority concern.

A. "Restrict your fluid intake while taking lithium. B. "Double your dose of lithium if you experience blurred vision." C. "Consume a moderate-sodium diet while taking lithium." D. "Slurred speech can indicate that your lithium level is low."

Correct Answer is C

Explanation

Choice A rationale:

Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.

Choice B rationale:

Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.

Choice C rationale:

Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.

Choice D rationale:

Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.

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A nurse is teaching the caregiver of a client who has Parkinson's disease. Which of the following instructions should the nurse include?

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