The nurse is assessing a client with Parkinson's Disease following a deep brain stimulation (DBS) procedure. Which of the following is an expected outcome?
Significant impairments from dyskinesia.
The client has significant tremors.
Increased dosage of prescribed levodopa (Laradopa).
Improving tremor and rigidity
The Correct Answer is D
A. Significant impairments from dyskinesia are typically a side effect of long-term levodopa therapy, not an expected outcome following deep brain stimulation. DBS is intended to reduce dyskinesias.
B. The presence of significant tremors post-procedure would indicate that the DBS may not be effectively managing the Parkinson's symptoms. Successful DBS typically reduces tremors.
C. One of the benefits of DBS is that it often allows for a reduction in the dosage of levodopa, not an increase.
D. Improving tremor and rigidity is an expected outcome of DBS. This surgical procedure delivers electrical impulses to targeted areas in the brain, which helps regulate abnormal brain activity and significantly reduces motor symptoms such as tremor, rigidity, and bradykinesia in clients with Parkinson’s Disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Gestational diabetes occurs during pregnancy and typically resolves after delivery. It does not typically lead to diabetic ketoacidosis (DKA), though women with gestational diabetes are at higher risk for developing type 2 diabetes later in life.
B. Secondary diabetes results from another condition (such as a hormonal disorder or medication use) and is less commonly associated with DKA.
C. While DKA can occur in type 2 diabetes, it is much more common in type 1 diabetes, especially in cases of severe insulin deficiency or missed insulin doses.
D. Diabetic ketoacidosis (DKA) is most commonly associated with type 1 diabetes mellitus. It occurs due to a severe lack of insulin, which leads to hyperglycemia, dehydration, and the production of ketones. DKA is a life-threatening complication often seen in newly diagnosed individuals or those with poor diabetes management.
Correct Answer is ["C","E","F"]
Explanation
A. Brittle nails are more commonly associated with hypothyroidism, not hyperthyroidism. In hyperthyroidism, nails tend to be stronger, although they may grow more quickly.
B. Cool skin is a sign of hypothyroidism, not hyperthyroidism. In hyperthyroidism, the skin is often warm and moist due to increased metabolic activity and the body's increased heat production.
C. Nervousness, anxiety, and irritability are common symptoms of hyperthyroidism due to the overstimulation of the sympathetic nervous system caused by elevated thyroid hormones.
D. Hoarseness is more commonly seen in hypothyroidism or in cases of thyroid nodules or goiter, not typically in hyperthyroidism.
E. Excessive perspiration is common in hyperthyroidism because of the increased metabolic rate and the body's tendency to generate more heat.
F. Exophthalmos (bulging of the eyes) is a hallmark symptom of Graves' disease, which is a common cause of hyperthyroidism. It occurs due to inflammation and swelling of the tissues around the eyes.
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