Mr. Frank, a 67-year-old male, is admitted to the neurology unit with difficulty walking, tremors, and muscle stiffness. He has Parkinson’s disease diagnosed 6 years ago. Which of Mr. Frank’s home medications is typically used to treat Parkinson’s? (Select all that apply)

Metoprolol 50 mg.

Carbidopa-Levodopa 25/100 mg.

Benztropine (Cogentin).

Aspirin 81 mg daily.

Lisinopril 20 mg.

Atorvastatin 20 mg.

Answer and Explanation

Correct Answer : B,C

Choice A reason: Metoprolol treats hypertension and heart conditions, not Parkinson’s symptoms like tremors or stiffness. Carbidopa-levodopa addresses these directly, making this incorrect, as it is not used for Parkinson’s management in the patient’s medication regimen for neurological symptoms.

Choice B reason: Carbidopa-levodopa is a primary Parkinson’s treatment, increasing dopamine to reduce tremors and stiffness. This aligns with neurological pharmacotherapy, making it a correct medication the nurse would recognize as typically used for Mr. Frank’s Parkinson’s disease management.

Choice C reason: Benztropine (cogentin) is an anticholinergic used in Parkinson’s to reduce tremors and rigidity. This aligns with standard Parkinson’s treatment protocols, making it a correct medication the nurse would identify as part of Mr. Frank’s regimen for managing his neurological symptoms.

Choice D reason: Aspirin is used for cardiovascular protection, not Parkinson’s symptoms like muscle stiffness. Carbidopa-levodopa is specific to Parkinson’s, making this incorrect, as it does not address the neurological symptoms of Mr. Frank’s diagnosed condition in his treatment plan.

Choice E reason: Lisinopril manages hypertension, not Parkinson’s-related tremors or walking difficulties. Benztropine targets these symptoms, making this incorrect, as it is irrelevant to the neurological management of Mr. Frank’s Parkinson’s disease in his home medication list.

Choice F reason: Atorvastatin treats hyperlipidemia, not Parkinson’s symptoms like stiffness or tremors. Carbidopa-levodopa is a Parkinson’s treatment, making this incorrect, as it does not contribute to managing Mr. Frank’s neurological condition in his prescribed medication regimen.

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Correct Answer is B

Explanation

Choice A reason: Degeneration of dopamine neurons causes Parkinson’s, not MS, which involves nerve fiber demyelination. This is incorrect, as it misattributes a Parkinson’s-related mechanism to MS, unlike demyelination, which explains the neurological symptoms in multiple sclerosis patients.

Choice B reason: Demyelination of nerve fibers in the central nervous system disrupts signal transmission, causing MS symptoms like weakness and vision issues. This aligns with neurological pathophysiology, making it the correct effect related to the symptoms of multiple sclerosis in patients.

Choice C reason: Overproduction of acetylcholine is unrelated to MS, which is driven by demyelination, not neurotransmitter excess. This is incorrect, as it does not explain the neurological deficits in MS, unlike the demyelination of nerve fibers central to the disease’s symptoms.

Choice D reason: Loss of motor neurons occurs in ALS, not MS, where demyelination causes symptoms. This is incorrect, as it confuses MS with a different neurodegenerative condition, unlike demyelination, which is the primary central nervous system effect in multiple sclerosis.

A. High T4 levels. B. High TSH levels. C. Low T4 levels. D. Low TSH levels.

Correct Answer is A

Explanation

Choice A reason: High T4 levels indicate excessive thyroid hormone production, a hallmark of hyperthyroidism. This aligns with endocrine diagnostic criteria, making it a correct test result the nurse would expect, reflecting the overactive thyroid function in a patient with suspected hyperthyroidism.

Choice B reason: High TSH levels suggest hypothyroidism, not hyperthyroidism, where TSH is typically low due to negative feedback. This is incorrect, as it contradicts the hormonal profile expected in hyperthyroidism, making it an inaccurate test result for the nurse’s evaluation.

Choice C reason: Low T4 levels are associated with hypothyroidism, not hyperthyroidism, which features elevated T4. This is incorrect, as it does not reflect the increased thyroid hormone production expected in hyperthyroidism, making it an inaccurate finding for the nurse’s assessment.

Choice D reason: Low TSH levels occur in hyperthyroidism due to feedback suppression from high thyroid hormones. This aligns with endocrine lab diagnostics, making it a correct test result the nurse would expect, confirming the overactive thyroid state in the patient’s evaluation.

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Mr. Frank, a 67-year-old male, is admitted to the neurology unit with difficulty walking, tremors, and muscle stiffness. He has Parkinson’s disease diagnosed 6 years ago. Which of Mr. Frank’s home medications is typically used to treat Parkinson’s? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which effect on the central nervous system is related to symptoms of multiple sclerosis (MS)?

Correct Answer is B

Explanation

What test results would indicate hyperthyroidism?

Correct Answer is A

Explanation

Which radiographic diagnostic test is most helpful in confirming gallstones?

To prevent autonomic dysreflexia, which nursing action would the home health nurse include in the plan of care for a patient who has paraplegia at the T4 level?

Which manifestation would the nurse find when assessing a patient with Cushing syndrome? (Select all that apply)

A patient who is disoriented and reports a headache and muscle cramps is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory result would the nurse expect?

A patient who had a thyroidectomy tells the nurse, “I need to restrict my activities and not return to work for 4 weeks.” Which statement indicates a need for further teaching?

A patient with Alzheimer’s disease (AD) who is being admitted to a hospital rehab facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care?

What is the most common complication for a patient with a seizure disorder?

Which patient statement indicates to the nurse that teaching was effective about chronic syndrome of inappropriate antidiuretic hormone (SIADH)?