The nurse is providing education to the client with Parkinson's disease and their family. The nurse understands that teaching has not been effective when the client makes which of the following statements?

"I can sit down to put on my pants and shoes."

"I try to exercise every day and rest when I am tired."

"I do not need to use my walker to go to the bathroom."

"My son removed all the loose rugs from the house."

Answer and Explanation

The Correct Answer is C

Choice A reason: The statement about being able to sit down to put on pants and shoes indicates that the client is implementing safety measures to prevent falls, which is a positive outcome of effective teaching.

Choice B reason: Exercising daily and resting when tired is an appropriate strategy for managing Parkinson's disease symptoms, suggesting that the client has understood the education provided.

Choice C reason: The statement about not needing a walker could indicate a lack of understanding of the importance of mobility aids in preventing falls, which is a concern for clients with Parkinson's disease.

Choice D reason: Removing loose rugs from the house is a preventive measure to reduce fall risk, indicating that the client and family have understood and applied the education.

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Correct Answer is B

Explanation

Choice A reason: A soft diet with thin liquids may be recommended for patients with Parkinson's disease who have difficulty swallowing (dysphagia), but it is not the most appropriate intervention for all patients. Dysphagia is common in Parkinson's disease due to impaired muscle movement, and a soft diet can help prevent choking and aspiration.

Choice B reason: Assessing for orthostatic hypotension is crucial in the care of patients with Parkinson's disease. Orthostatic hypotension is a common non-motor symptom where there is a significant drop in blood pressure upon standing. Normal blood pressure should not drop more than 20 mm Hg systolic or 10 mm Hg diastolic within 2 to 5 minutes of standing². This condition can increase the risk of falls, which is a significant concern in this population.

Choice C reason: Exophthalmos, the bulging of the eyes, is not associated with Parkinson's disease. It is typically related to thyroid eye disease, such as Graves' disease, and would not be a relevant assessment for a Parkinson's patient unless there is a known co-existing thyroid condition.

Choice D reason: Limiting fluids to prevent urinary incontinence is not an appropriate intervention for Parkinson's disease. Adequate hydration is essential, and urinary incontinence should be managed with other strategies, such as bladder training, scheduled toileting, and possibly medication, depending on the cause.

A. Monitor heart rate and rhythm. B. Auscultate lung fields and check blood pressure (BP). C. Assess for jugular venous distension (JVD). D. Check peripheral pulses.

Correct Answer is B

Explanation

Choice A reason: Monitoring heart rate and rhythm is important in heart failure management, but it does not directly reflect the effectiveness of enalapril and furosemide, which are primarily used to control blood pressure and reduce fluid overload, respectively.

Choice B reason: Auscultating lung fields can reveal the presence of fluid, indicating pulmonary edema, a common complication of left-sided heart failure. Checking BP is essential as enalapril is an ACE inhibitor that lowers BP, and furosemide can also affect BP through its diuretic effect.

Choice C reason: Assessing for JVD can indicate right-sided heart failure, which may develop secondary to left-sided heart failure. However, it is not the primary assessment for the effectiveness of enalapril and furosemide.

Choice D reason: Checking peripheral pulses is a general assessment and, while important, it does not specifically evaluate the effectiveness of the medications in question.

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The nurse is providing education to the client with Parkinson's disease and their family. The nurse understands that teaching has not been effective when the client makes which of the following statements?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention is appropriate to include in the plan of care for a patient with Parkinson's disease?

Correct Answer is B

Explanation

A patient with left-sided heart failure is being treated with enalapril and furosemide. Which assessments should the nurse perform to evaluate the effectiveness of these medications?

Correct Answer is B

Explanation

The nurse caring for a client with thyroid disease notes a current T4 level of 2.9 mcg/dL (normal range: 5-11.5 mcg/dL). Which findings are consistent with this result?

Which client does the nurse identify as having the greatest risk for the development of sepsis?

Deep brain stimulation has been ordered for a client with Parkinson's disease. The client asks the nurse how this treatment will help. What is the nurse's best response?

The nurse is reviewing orders received for a client diagnosed with sepsis. Which order should the nurse question?

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