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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fosphenytoin (Cerebyx) is correct to question as an initial treatment in status epilepticus. While fosphenytoin is used to prevent further seizures once initial control is achieved, it does not act quickly enough to stop active seizures. Therefore, it is not the first-line medication during the acute phase and should be questioned if ordered as the initial intervention.
B. Lorazepam is a benzodiazepine and is one of the first-line treatments for status epilepticus due to its rapid onset of action.
C. Phenobarbital can be used if benzodiazepines and phenytoin/fosphenytoin fail to control seizures, making it an appropriate option in refractory cases.
D. Diazepam is also a benzodiazepine effective for the acute management of status epilepticus, typically administered intravenously or rectally for rapid effect.
Correct Answer is B
Explanation
A. Increasing fiber can be beneficial for clients with hypothyroidism, as constipation is a common symptom of this condition. It helps improve bowel movements and overall gastrointestinal function.
B. Hypothyroidism is a lifelong condition, and thyroid replacement therapy is typically needed for life. The client must understand that they cannot stop taking the medication after a set period unless instructed by a healthcare provider.
C. Some medications can interfere with thyroid hormone replacement therapy, so it is important to be cautious and consult a healthcare provider before taking any new medications.
D. Regular monitoring of thyroid hormone levels is important to ensure that the thyroid replacement therapy is at the correct dosage. This helps prevent under- or over-treatment.
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