The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

Request that the client's spouse bring the client to the clinic as soon as possible.

Advise the client's spouse to call an ambulance to take the client to the emergency room.

Ask the client's spouse to list all medications the client is currently taking.

Determine how long the client has been diagnosed with Parkinson's disease.

Answer and Explanation

The Correct Answer is B

Choice A reason: Bringing the client to the clinic is not sufficient for urgent care needs such as confusion and involuntary movements.

Choice B reason: Calling an ambulance ensures the client receives immediate medical attention for potentially severe symptoms.

Choice C reason: Listing all medications is important but not the first priority in an urgent situation.

Choice D reason: Determining how long the client has been diagnosed with Parkinson's disease is relevant background information but not the immediate action needed for the current symptoms.

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Correct Answer is A

Explanation

Choice A reason: Reduced epigastric pain indicates that the famotidine is effectively reducing gastric acid production and alleviating symptoms.

Choice B reason: Decreased nighttime awakenings may be an indirect benefit but is not a direct measure of the medication's effectiveness.

Choice C reason: A positive stool antigen test is not relevant to assessing the effectiveness of famotidine.

Choice D reason: Loss of weight is not a direct measure of famotidine's effectiveness.

A. Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs). B. Increased anxiety and nervousness have been reported by those taking feverfew. C. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew. D. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew.

Correct Answer is A

Explanation

Choice A reason: Feverfew can interact with aspirin or NSAIDs, potentially increasing the risk of bleeding. This information is crucial for clients to avoid adverse interactions.

Choice B reason: While increased anxiety and nervousness have been reported, these side effects are less critical compared to the potential for harmful drug interactions.

Choice C reason: Those with allergies to chamomile, ragweed, or yarrow should avoid feverfew, but the primary concern should be potential drug interactions.

Choice D reason: Gastrointestinal side effects such as abdominal pain, gas, nausea, vomiting, and diarrhea are important to note, but they do not pose as immediate a risk as the potential for drug interactions.

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The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

Nursing Test Bank

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