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 A

Explanation

A. Unable to perform activities of daily living, requires total care, and unable to recognize family members is characteristic of late stage Alzheimer's disease. In this stage, cognitive decline is severe, and clients lose the ability to communicate effectively, recognize loved ones, and carry out basic tasks without assistance.
B. Repeating questions even after reorientation is more typical of early to moderate stages of Alzheimer’s, when short-term memory is significantly affected but overall function is not yet completely lost.
C. Difficulty finding correct words, known as anomia, usually appears in the early to moderate stages and is not specific to the late stage.
D. Impulsive behavior and poor judgment may occur in moderate stages, but in late-stage Alzheimer’s, clients often become non-verbal and immobile rather than impulsive.

A. "Elevated blood sugar level causes decreased thirst and appetite." B. "Increased appetite is due to osmotic factors resulting from high blood sugar. C. "Increased appetite is caused by the increased anabolic state due to high blood sugar. D. "Frequent urination seen in diabetes is due to an elevated blood sugar level."

Correct Answer is D

Explanation

A. Elevated blood sugar (hyperglycemia) typically causes increased thirst (polydipsia) and increased appetite (polyphagia), not decreased thirst and appetite. This occurs due to the body’s attempt to compensate for the excess glucose in the blood.
B. While osmotic factors (such as increased glucose in the urine) contribute to dehydration and increased thirst, increased appetite (polyphagia) in diabetes is primarily caused by the body's inability to effectively use glucose, leading to a sensation of hunger despite high blood sugar.
C. The increased appetite in diabetes is related to the body’s inability to properly utilize glucose, not an anabolic state. The body compensates for the perceived lack of energy, leading to hunger.
D. Frequent urination (polyuria) in diabetes is due to the osmotic diuresis caused by elevated blood sugar levels. When blood glucose levels exceed the renal threshold, glucose spills into the urine, which pulls water along with it, leading to increased urination.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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