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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Levodopa/carbidopa therapy is often recommended to be taken with food to prevent nausea, which is a common side effect. Therefore, advising not to take it with food is incorrect.
Choice B reason: While levodopa/carbidopa can cause insomnia, it is not the most critical piece of information for discharge teaching. Managing insomnia can be part of ongoing treatment discussions.
Choice C reason: Checking for signs of infection is a general safety measure but is not specific to levodopa/carbidopa therapy. It is important for all medications and health conditions.
Choice D reason: It is crucial to take levodopa/carbidopa at the same time each day to maintain steady levels of the medication in the body, which helps to control the symptoms of Parkinson's disease effectively. Consistency in medication timing is key to managing the disease's symptoms.
Correct Answer is A
Explanation
Choice A reason: In sepsis, inflammatory mediators cause vasodilation and increased capillary permeability, leading to fluid leaking out of the vascular space, resulting in hypotension.
Choice B reason: Platelet aggregation and thrombus formation can occur in sepsis but are more related to disseminated intravascular coagulation (DIC) rather than directly causing hypotension.
Choice C reason: Decreased blood glucose and oliguria can be consequences of sepsis but are not the primary pathophysiological processes responsible for hypotension.
Choice D reason: Hypoxemia and anaerobic metabolism may result from the effects of sepsis on the body, including hypotension, but they are not the direct cause of hypotension.
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