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. Typically, in hyperglycemia (high blood sugar), sodium may be retained, not decreased, due to the osmotic effect of glucose. Increased urine output can lead to some sodium loss, but it is not the primary concern here.
B. When blood glucose levels exceed the renal threshold (around 180 mg/dL), the kidneys cannot reabsorb all the glucose, and it spills over into the urine. This leads to glucosuria (glucose in urine), which is common in uncontrolled diabetes.
C. Hyperglycemia can initially cause increased potassium levels in the blood due to shifts between intracellular and extracellular compartments. However, increased urination (polyuria) can eventually lead to potassium loss, not decreased potassium in urine.
D. Ketones in the urine (ketonuria) are more commonly seen in type 1 diabetes or in cases of diabetic ketoacidosis (DKA), which is often associated with severe insulin deficiency and fat breakdown. While it's possible to see ketones in type 2 diabetes, this is not typically the first finding with a blood sugar level of 289 mg/dL.

A. Low serum thyroxine (T4) level B. Decreased serum thyroid stimulating hormone (TSH) C. Tachycardia or fine hand tremor D. Elevated serum thyroid stimulating hormone (TSH) E. Elevated serum thyroxine (T4)

Correct Answer is C

Explanation

A. Low serum thyroxine (T4) level In hyperthyroidism, the serum thyroxine (T4) level is typically elevated due to excessive production of thyroid hormones.
B. Decreased serum thyroid stimulating hormone (TSH) In hyperthyroidism, the body produces excess thyroid hormones (T3 and T4), which negatively feedback to the pituitary gland and result in decreased TSH levels. This is a key diagnostic finding.
C. Tachycardia or fine hand tremor Hyperthyroidism often causes symptoms like tachycardia (increased heart rate) and a fine hand tremor due to the overstimulation of the body's metabolism and sympathetic nervous system.
D. Elevated serum thyroid stimulating hormone (TSH) In hyperthyroidism, the TSH level is typically low due to negative feedback from the excess thyroid hormones.
E. Elevated serum thyroxine (T4) In hyperthyroidism, the serum thyroxine (T4) level is elevated because the thyroid gland is producing too much thyroid hormone.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for a client with diabetes, type 2 who has a blood sugar level of 289 mg/dL noted an increase in urine output. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

The nurse is assessing a client newly diagnosed with hyperthyroidism. The nurse should expect which of the following?

Correct Answer is C

Explanation

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