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: A platelet count of 100,000/mm³ is significantly below the normal range and indicates thrombocytopenia, which increases the risk of bleeding. Enoxaparin, an anticoagulant, further elevates this risk, making immediate intervention necessary. The nurse must notify the healthcare provider and take appropriate measures to prevent potential bleeding complications.

Choice B reason: A blood urea nitrogen (BUN) level of 20 mg/dL is at the upper limit of the normal range and does not require immediate action. This value does not indicate a critical change in the client's condition and does not have the same urgency as a low platelet count.

Choice C reason: A serum creatinine level of 1.0 mg/dL is within the normal range and does not require urgent action. This result does not suggest any immediate threat to the client's health and is not influenced by the administration of enoxaparin.

Choice D reason: A hematocrit level of 45% is within the normal range and does not require immediate intervention. This value does not indicate any abnormality that would necessitate urgent action by the nurse.

A. Explain to the caregiver that insomnia is a common and temporary side effect when the medication is first started. B. Advise the caregiver that the purpose of the medication is to promote sleep, so a change in medication may be needed. C. Instruct the caregiver to withhold the medication until the dosage can be decreased to ensure the client's safety. D. Notify the healthcare provider that the dosage of the medication may need to be increased to manage the client's insomnia.

Correct Answer is A

Explanation

Choice A reason: Insomnia can be a common and temporary side effect when starting rivastigmine. Educating the caregiver about this potential side effect helps them understand that it may resolve over time and reassures them about the safety of the medication.

Choice B reason: Advising that the purpose of the medication is to promote sleep is incorrect. Rivastigmine is used to improve cognitive function in Alzheimer's disease, not specifically to promote sleep.

Choice C reason: Instructing the caregiver to withhold the medication without consulting the healthcare provider is not advisable. Adjusting or discontinuing medication should always be done under medical supervision.

Choice D reason: Notifying the healthcare provider about increasing the dosage for insomnia is inappropriate. The focus should be on managing the side effect without altering the intended therapeutic effect of the medication.

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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?

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Correct Answer is A

Explanation

During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?

Correct Answer is A

Explanation

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

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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?

The nurse discontinues the client's patient-controlled analgesia (PCA) pump. Which response should the nurse provide to the client's request to go to the smoking area?

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