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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Fluticasone, an inhaled steroid, treats asthma inflammation safely in heart failure, reducing airway reactivity without cardiac impact, so no clarification is needed.
Choice B reason: Captopril, an ACE inhibitor, reduces preload in heart failure, safe with asthma as it doesn’t affect airways, aligning with standard therapy.
Choice C reason: Carvedilol, a non-selective beta-blocker, treats heart failure but risks bronchospasm in asthma by blocking beta-2 receptors, requiring clarification for safety.
Choice D reason: Isosorbide dinitrate dilates vessels in heart failure, reducing workload, with no asthma contraindication, making it appropriate without needing clarification.
Correct Answer is D
Explanation
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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