The nurse is caring for a client with Parkinson's disease who has difficulty speaking. Which of the following instructions should the nurse provide to the client.

"Look directly at the person you are talking to."

"Stop to take a breath after each word."

"Use a hearing aid to improve communication."

"Try to speak louder and faster."

Answer and Explanation

The Correct Answer is A

A. Look directly at the person you are talking to helps enhance communication by using facial expressions and visual cues, which can compensate for the soft, monotone, or slurred speech often seen in clients with Parkinson’s disease.
B. Stopping to take a breath after each word would make speech more fragmented and harder to follow. It is not a recommended strategy.
C. A hearing aid would help the listener if they had hearing loss, but it does not assist the client with Parkinson’s who is having difficulty speaking, not hearing.
D. Speaking louder may help, but speaking faster is counterproductive. Clients with Parkinson’s often benefit from slower, more deliberate speech and may work with a speech therapist to use strategies like the Lee Silverman Voice Treatment (LSVT), which focuses on increasing vocal loudness—not speed.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

determine how many capsules the nurse should administer for 1 dose, we first need to divide the total daily dose by the number of doses:

1,800 mg ÷ 3 doses = 600 mg per dose.

Now, since each capsule contains 300 mg, we divide the dose by the amount per capsule:

600 mg ÷ 300 mg per capsule = 2 capsules.

A. Maintain good oral hygiene. B. You can switch between brand name or generic for medications. C. This medication is safe to take during pregnancy. D. Take this medication on an empty stomach.

Correct Answer is A

Explanation

A. Phenytoin (Dilantin) is known to cause gingival hyperplasia (gum overgrowth), so it is important for the client to maintain good oral hygiene to help reduce the risk of this side effect. Regular brushing, flossing, and dental check-ups are recommended to help manage and prevent gum problems.
B. Phenytoin has a narrow therapeutic index, meaning that small changes in the dose or blood levels of the drug can have significant effects. Switching between brand name and generic forms of phenytoin may lead to variations in drug absorption, potentially affecting the client’s seizure control. The client should use the same brand unless instructed otherwise by their healthcare provider.
C. Phenytoin is not considered safe during pregnancy due to the risk of birth defects (e.g., fetal hydantoin syndrome). Women who are pregnant or planning to become pregnant should discuss alternative treatments with their healthcare provider.
D. Phenytoin can be taken with food to reduce gastrointestinal irritation. It is important to follow the specific instructions provided by the healthcare provider or pharmacist.

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The nurse is caring for a client with Parkinson's disease who has difficulty speaking. Which of the following instructions should the nurse provide to the client.

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Naxlex Comprehensive Predictor Exams

The nurse is administering prescribed gabapentin (Neurontin) 1,800 mg, PO, daily, divided into 3 doses. The medication is supplied in 300 mg capsules. How many capsules should the nurse administer for 1 dose? Do not round your answer. Enter numeric value only.

Correct Answer is ["2"]

Explanation

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Correct Answer is A

Explanation

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