The nurse is educating a client about Parkinson’s disease. Which of the following statements would require further teaching?

I should eat soft foods such as applesauce and yogurt if I have trouble swallowing

I could drink prune juice if I develop constipation

Carbidopa-levodopa will help with my symptoms

It results from the lack of acetylcholine

Answer and Explanation

The Correct Answer is D

Choice A reason: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.

Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.

Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.

Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.

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Correct Answer is A

Explanation

Choice A reason: Albuterol, a bronchodilator, rapidly opens airways in COPD, relieving acute shortness of breath and improving oxygenation from 85% by relaxing bronchial smooth muscle.

Choice B reason: Mucolytics thin mucus over time, not addressing acute dyspnea or low saturation (85%) quickly, lacking the immediacy needed in this scenario.

Choice C reason: Montelukast prevents asthma inflammation long-term via leukotriene blockade, not providing rapid relief for COPD’s acute bronchospasm or hypoxia here.

Choice D reason: Prednisone reduces COPD inflammation systemically, but its slow onset doesn’t acutely reverse shortness of breath or oxygen drop like a bronchodilator.

A. Maintain oxygen saturations greater than or equal to 92% B. Administer ibuprofen C. Administer enteric-coated acetaminophen D. Obtain an EKG

Correct Answer is D

Explanation

Choice A reason: Maintaining oxygen saturation helps symptoms but doesn’t diagnose the cause (e.g., MI), delaying critical evaluation of atypical pain and dyspnea.

Choice B reason: Ibuprofen relieves pain but risks bleeding in potential MI, not addressing cardiac etiology of jaw, back pain, and shortness of breath urgently.

Choice C reason: Acetaminophen eases pain but doesn’t assess or treat potential cardiac ischemia, missing the diagnostic priority for these MI-like symptoms.

Choice D reason: An EKG identifies cardiac ischemia (e.g., MI) in atypical pain (jaw, back), dyspnea, and nausea, guiding urgent treatment, the priority action here.

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The nurse is educating a client about Parkinson’s disease. Which of the following statements would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with COPD who develops severe shortness of breath upon walking to the bathroom and oxygen saturation of 85% on room air. Which of the following medications would be a priority to treat these symptoms?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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