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 B

Explanation

Choice A rationale:

Requesting an opportunity to discuss trauma might be indicative of the client's desire to process their experiences, but it's not a specific symptom of PTSD.

Choice B rationale:

Recurrent nightmares are a common symptom of PTSD, often related to the traumatic event.

Choice C rationale:

Indicating working extra hours is not a specific symptom of PTSD.

Choice D rationale:

Exhibiting diminished reflexes is not a typical symptom of PTSD.

A. "You might experience hot flashes while taking this medication." B. "You might notice changes in taste while taking this medication." C. "You might have a dry cough while taking this medication." D. "You might experience migraine with aura while taking this medication.

Correct Answer is A

Explanation

Choice A rationale:

Clomiphene is used to induce ovulation in women with infertility. Hot flashes are a common side effect of clomiphene due to its impact on hormone levels. Clomiphene is a medication that stimulates ovulation by blocking estrogen receptors in the hypothalamus and pituitary gland. This causes an increase in the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the growth and maturation of ovarian follicles. One of the common side effects of clomiphene is hot flashes, which are caused by the sudden drop in estrogen levels. Hot flashes can be mild or severe, and can occur at any time of the day or night. They usually last for a few minutes and can be accompanied by sweating, palpitations, anxiety, or nausea.

Choice B rationale:

Changes in taste are not a typical side effect of clomiphene.

Choice C rationale:

A dry cough is not typically associated with clomiphene.

Choice D rationale:

Migraine with aura is not typically associated with clomiphene.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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