The nurse is assessing a client diagnosed with Parkinson's disease. Which data would the nurse anticipate? Select all that apply.

Slowed movement when rising from a chair

Chronic diarrhea

Difficulty swallowing

Shuffling gait

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: Slowed movement when rising from a chair is a common symptom of Parkinson's disease, known as bradykinesia.

Choice B reason: Chronic diarrhea is not typically associated with Parkinson's disease.

Choice C reason: Difficulty swallowing, or dysphagia, is a common issue in Parkinson's disease due to impaired muscle control.

Choice D reason: A shuffling gait is characteristic of Parkinson's disease, often referred to as "festinating gait."

Choice E reason: Lower extremity edema is not a typical symptom of Parkinson's disease and may indicate other health issues.

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Correct Answer is A

Explanation

Choice A reason: Sodium restriction is a standard intervention in the management of cirrhosis, particularly when there is fluid retention leading to a distended abdomen (ascites) and weight gain.

Choice B reason: Encouraging fluids would not be appropriate for a client with cirrhosis who is already experiencing fluid overload, as indicated by a distended abdomen and weight gain.

Choice C reason: Checking lipase levels is associated with pancreatic function and would not be a direct intervention based on the symptoms of cirrhosis presented.

Choice D reason: Pancrealipase is used to aid digestion in patients with pancreatic insufficiency and is not related to the management of cirrhosis symptoms such as ascites and dyspnea.

A. Administer propylthiouracil (PTU). B. Provide an electric blanket. C. Restrict fluids. D. Monitor for hypotension.

Correct Answer is A

Explanation

Choice A reason: Propylthiouracil (PTU) is an antithyroid medication used to treat hyperthyroidism, which can present with symptoms such as weight loss and heat intolerance. The symptoms listed (periorbital edema, cold intolerance, and weight gain) suggest hypothyroidism, for which PTU is not indicated.

Choice B reason: Providing an electric blanket may offer comfort for cold intolerance but does not address the underlying thyroid disorder.

Choice C reason: Restricting fluids is not a standard intervention for thyroid disorders and could potentially lead to dehydration.

Choice D reason: Monitoring for hypotension is important in thyroid disorders, especially if the client is on antithyroid medications, which can affect blood pressure. However, the symptoms presented suggest hypothyroidism, where hypotension is less of a concern compared to hyperthyroidism.

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The nurse is assessing a client diagnosed with Parkinson's disease. Which data would the nurse anticipate? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Assessment of a client with cirrhosis reveals a distended abdomen, weight gain, and dyspnea. Based on this information, what interventions would the nurse include in this client's plan of care?

Correct Answer is A

Explanation

The nurse is admitting a client with a thyroid disorder who presents with periorbital edema, cold intolerance, and weight gain. Which intervention should the nurse include in this client's plan of care?

Correct Answer is A

Explanation

A spouse expresses frustration when trying to communicate with a client with Parkinson's disease (PD). What can the nurse do to facilitate communication between the client and spouse?

The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Which intervention is appropriate to include in the plan of care for a patient with Parkinson's disease?

The client has been instructed about levothyroxine (Synthroid) therapy. Which statement by the client requires follow-up by the nurse?

The nurse caring for a client with thyroid disease notes a current T4 level of 2.9 mcg/dL (normal range: 5-11.5 mcg/dL). Which findings are consistent with this result?

The patient with newly diagnosed Parkinson's disease states, "I just don't think I can handle having Parkinson's disease." What is the nurse's best first response?

Prior to administering levodopa/carbidopa to a client with Parkinson's disease, which action would the nurse take?