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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Bedtime snacks are often recommended for clients using insulin to help prevent nighttime hypoglycemia, especially if they are taking insulin that has a peak action during the night (e.g., NPH insulin).
B. The timing of food intake should not necessarily coincide with the peak action of the insulin. For example, rapid-acting insulins should be given around meal times, but the timing of food isn't strictly tied to the insulin peak. It's more important to match the insulin to meal timing to help with glucose control.
C. When mixing NPH (a longer-acting insulin) and regular insulin (a shorter-acting insulin), the correct technique is to draw up the regular insulin first to avoid contamination of the regular insulin with the NPH insulin, which is cloudy.
D. Educating clients about the signs, symptoms, and management of hypoglycemia is essential to safe insulin therapy.

A. Postdrome B. Premonitory C. Headache D. Aura

Correct Answer is D

Explanation

A. The postdrome phase occurs after the headache subsides. During this phase, the client may experience fatigue, mood changes, or mild head discomfort, but it does not include visual disturbances like light flashes.
B. The premonitory phase refers to early warning signs that occur before the onset of the migraine headache, such as fatigue, irritability, or neck stiffness, but not typically visual disturbances like light flashes.
C. The headache phase is when the migraine pain is most severe. The client’s description of seeing light flashes occurs before the pain phase, so this would not be considered the headache phase.
D. The aura phase is characterized by neurological symptoms that occur just before or during the onset of a migraine, and it can include visual disturbances such as light flashes, blind spots, or zigzag lines. This phase can last from a few minutes to an hour and usually precedes the headache phase.

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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?

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Naxlex Comprehensive Predictor Exams

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