The nurse has taught a client newly diagnosed with Parkinson's disease ways to maintain mobility. Which of the following statements by the client would indicate the need for further teaching.

"A treadmill was given to me so I can run a few days a week."

"The physical therapist taught me some stretching exercises."

"I will start swimming at the health club."

"I enjoy gardening. You should see my beautiful roses."

Answer and Explanation

The Correct Answer is A

A. Running on a treadmill may not be the safest or most beneficial exercise for someone with Parkinson's disease. People with Parkinson's disease often experience motor symptoms like rigidity, bradykinesia (slowness of movement), and balance issues, which can make running difficult and increase the risk of falls. Low-impact exercises like walking, swimming, or cycling are generally recommended to maintain mobility and safety.
B. This is appropriate. Stretching exercises are important for maintaining flexibility and preventing muscle stiffness in Parkinson's disease. Physical therapy can help guide the client in exercises that are safe and beneficial.
C. This is a good choice. Swimming provides a low-impact, full-body workout that can help improve strength, flexibility, and cardiovascular fitness, which is beneficial for individuals with Parkinson's disease.
D. Gardening is an appropriate and enjoyable activity for someone with Parkinson's disease. It encourages movement and is a great way to engage in physical activity while also promoting emotional well-being.

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Correct Answer is A

Explanation

A. It is important for the client with diabetes to continue taking their insulin as prescribed, even if they are unable to eat. When the body is under stress (e.g., due to illness), blood sugar levels can rise, and insulin is still necessary to manage glucose levels. Skipping insulin could lead to hyperglycemia or diabetic ketoacidosis (DKA), which can be life-threatening. The nurse should encourage the client to continue insulin therapy and consider alternative ways to manage nausea (e.g., antiemetics).
B. While it is important for the client to monitor their blood glucose, checking it twice a day may not be sufficient during illness. The client should check their blood glucose more frequently (e.g., every 4 hours) to avoid the risk of hyperglycemia or DKA, especially if they are not eating or drinking regularly.
C. When a person with diabetes is ill and unable to eat, it is important to ensure they stay hydrated and maintain glucose levels. Clear liquids such as soda or fruit juice may help with hydration and provide a quick source of sugar if the blood glucose drops too low, though they should be consumed in moderation.
D. It is essential for the client to stay hydrated, especially if they are vomiting. Dehydration can worsen blood sugar control and lead to further complications. The client should be encouraged to drink small, frequent sips of water or electrolyte solutions to stay hydrated.

A. Legumes B. Grilled chicken C. Root vegetables D. Mashed potatoes

Correct Answer is D

Explanation

A. Legumes (such as beans, lentils, and peas) have a low glycemic index. They are high in fiber and protein, which helps slow the absorption of carbohydrates and keep blood sugar levels stable.
B. Grilled chicken is a protein source and does not significantly affect the glycemic index since proteins do not cause a rise in blood sugar.
C. Root vegetables like carrots, sweet potatoes, and beets generally have a moderate glycemic index. While they do impact blood sugar, they do not cause as significant an increase as high-glycemic foods.
D. Mashed potatoes, especially if prepared without the skin, have a high glycemic index. The processing of potatoes into a mashed form increases their rate of digestion and absorption, causing a more rapid increase in blood sugar levels

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The nurse has taught a client newly diagnosed with Parkinson's disease ways to maintain mobility. Which of the following statements by the client would indicate the need for further teaching.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home health nurse is visiting a client with diabetes mellitus, type 2 who reports nausea and vomiting for the past 3 days and not taking prescribed insulin because of the inability to "keep food down." Which of the following responses would be most appropriate for the nurse to make?

Correct Answer is A

Explanation

The nurse is assisting a patient with Type 2 diabetes to choose foods for the next day's meals. Which of the following food choices would have the highest glycemic index?

Correct Answer is D

Explanation

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