The nurse is caring for a patient with Parkinson's Disease.
While writing the care plan for the patient, what would be an appropriate diagnosis?
Constipation related to dopaminergic effects.
Risk for injuries related to CVS effects and PVD.
Risk for injury related to CVS effects and incidence of orthostatic hypotension.
Diarrhea related to dopaminergic effects.
The Correct Answer is C
Choice A rationale
Constipation can be a side effect of Parkinson's disease and dopaminergic medications, but it is not a primary safety concern compared to the risk of injury.
Choice B rationale
Risk for injuries related to cardiovascular effects and peripheral vascular disease is a concern, but the risk of orthostatic hypotension presents a more immediate danger for falls.
Choice C rationale
Parkinson's disease and its treatments can cause orthostatic hypotension, significantly increasing the risk of falls and injury. This risk needs to be carefully managed in the patient's care plan.
Choice D rationale
Diarrhea is not commonly associated with Parkinson's disease or its treatments. Constipation is more prevalent due to both the disease and dopaminergic medication effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A patient 3 days after surgery may still require higher doses of opioids for pain management, but the duration and intensity of postoperative pain typically decrease over time. This patient may not necessarily require a higher-than-expected dose compared to others.
Choice B rationale
Patients with cancer often experience severe and chronic pain due to the disease itself or its treatments. These patients may develop tolerance to opioids over time, necessitating higher-than-expected doses to achieve adequate pain relief.
Choice C rationale
Hypotension is a contraindication for high doses of opioids, as opioids can cause further blood pressure reduction. This patient would require careful dose adjustment to avoid exacerbating hypotension.
Choice D rationale
Patients with a concussion are at risk of altered mental status and respiratory depression from opioids. Therefore, higher doses are generally avoided to prevent worsening of these conditions.
Correct Answer is B
Explanation
Choice A rationale
Glycopyrrolate is an anticholinergic medication that reduces secretions in the mouth, throat, and airways but is not typically used for bronchospasm associated with COPD.
Choice B rationale
Ipratropium is an anticholinergic bronchodilator that is commonly used to treat bronchospasm associated with COPD. It works by relaxing the muscles around the airways to improve breathing.
Choice C rationale
Atropine is an anticholinergic medication used to treat bradycardia and reduce secretions but is not indicated for bronchospasm associated with COPD.
Choice D rationale
Flavoxate is a urinary antispasmodic used to relieve symptoms of bladder spasms but has no role in the treatment of bronchospasm associated with COPD.
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