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 A

Explanation

A. Rubbing the injection site after insulin administration is not recommended, as it can increase the risk of bruising or irritation. Insulin should be injected into the subcutaneous tissue, and massaging or rubbing the site can cause the insulin to be absorbed too quickly, leading to unpredictable blood sugar levels.
B. Injecting the needle at a 90-degree angle is the correct technique for subcutaneous insulin injection, especially when using shorter needles. A 90-degree angle ensures the insulin is delivered into the subcutaneous tissue.
C. Grasping the skin helps to ensure that the insulin is injected into the subcutaneous layer and not into the muscle, which can affect absorption.
D. Rotating injection sites is important to prevent tissue damage or lipodystrophy (thickening or atrophy of the skin). Following a pattern helps ensure that insulin is injected into different areas for consistent absorption.

A. Decreased nervousness B. Sore throat and increased ecchymosis C. Heart rate greater than 60 and less than 100 beats/min D. Reduced tremor

Correct Answer is B

Explanation

A. Decreased nervousness might be a result of effective treatment for hyperthyroidism, but it is not the most critical symptom to assess in relation to propylthiouracil (PTU) therapy.
B. Sore throat and increased ecchymosis Propylthiouracil (PTU) can cause serious side effects, including agranulocytosis (a severe decrease in white blood cells), which can result in sore throat, fever, and increased bruising or ecchymosis. These symptoms suggest a possible infection or bleeding disorder and should be promptly assessed and reported to a healthcare provider.
C. Heart rate greater than 60 and less than 100 beats/min PTU is used to treat hyperthyroidism, which can cause an elevated heart rate. A heart rate between 60 and 100 beats per minute is generally within normal limits and does not specifically warrant further assessment in this case.
D. A reduced tremor may be a positive sign of treatment effectiveness, as tremors are common in hyperthyroidism. However, this does not necessitate further assessment related to PTU therapy, unlike more serious side effects such as agranulocytosis.

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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 is evaluating a client with diabetes mellitus, type 1 who was taught about self-administration of prescribed insulin. Which of the following actions by the client would indicate that more teaching is needed?

Correct Answer is A

Explanation

The nurse is assessing a client taking prescribed propylthiouracil (PTU) therapy. What should the nurse further assess?

Correct Answer is B

Explanation

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