The nurse is planning care for an older adult client with advanced Parkinson's disease. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

Assist with meals as needed.

Monitor for aspiration.

Obtain weight monthly.

Provide supplemental feedings.

Obtain dietary consult.

Answer and Explanation

Correct Answer : A,B,D,E

A. Clients with advanced Parkinson’s disease often have difficulty with swallowing, fine motor control, and coordination, which can make eating challenging. Assisting with meals helps ensure the client receives adequate nutrition.
B. Swallowing difficulties (dysphagia) are common in advanced Parkinson's disease, increasing the risk for aspiration. The nurse should monitor for signs of aspiration and take precautions (e.g., providing thickened liquids, upright positioning) to reduce the risk of aspiration pneumonia.
C. While it’s important to monitor weight in Parkinson’s disease, monthly monitoring may not be frequent enough. Weight should be assessed more regularly (e.g., weekly) because individuals with advanced Parkinson's disease may have difficulty eating enough, leading to weight loss.
D. If the client is having difficulty eating enough during regular meals due to swallowing difficulties or fatigue, supplemental feedings (e.g., via tube feeding or liquid supplements) may be necessary to maintain nutrition and prevent weight loss.
E. A dietary consult can help provide guidance on modifying the diet to address swallowing difficulties, ensure adequate caloric intake, and prevent complications such as malnutrition or aspiration.

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Correct Answer is B

Explanation

A. Increasing fiber can be beneficial for clients with hypothyroidism, as constipation is a common symptom of this condition. It helps improve bowel movements and overall gastrointestinal function.
B. Hypothyroidism is a lifelong condition, and thyroid replacement therapy is typically needed for life. The client must understand that they cannot stop taking the medication after a set period unless instructed by a healthcare provider.
C. Some medications can interfere with thyroid hormone replacement therapy, so it is important to be cautious and consult a healthcare provider before taking any new medications.
D. Regular monitoring of thyroid hormone levels is important to ensure that the thyroid replacement therapy is at the correct dosage. This helps prevent under- or over-treatment.

A. Atorvastatin (Lipitor) for hypercholesterolemia B. Duloxetine (Cymbalta) for depression C. Prednisone (Rayos) for COPD exacerbation D. Ibuprofen (Motrin) for pain

Correct Answer is C

Explanation

A. Atorvastatin is commonly prescribed to manage high cholesterol and does not typically pose a direct risk when taken with oral antidiabetic drugs or insulin. In fact, managing cholesterol is important for patients with diabetes to reduce the risk of cardiovascular complications.
B. Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) used to treat depression and anxiety. It does not have significant interactions with antidiabetic medications or insulin, although it should be used with caution in patients with certain conditions, like a history of serotonin syndrome.
C. Prednisone is a corticosteroid that can raise blood glucose levels, which can be problematic for patients with diabetes. It may increase insulin resistance and cause hyperglycemia, potentially making it more difficult to control blood sugar in patients taking oral antidiabetic drugs and insulin.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) and, although it can affect kidney function, it does not have a direct impact on blood sugar levels when used in the short term. It may be used cautiously in diabetic patients, particularly if they have kidney problems, but it is not a major concern in this case.

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The nurse is planning care for an older adult client with advanced Parkinson's disease. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has taught a client with hypothyroidism about thyroid replacement therapy. Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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The nurse is planning care for an older adult client with advanced Parkinson's disease. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

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