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: 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.

A. Advise use of an over-the-counter antipyretic. B. Ask if the medication has been kept refrigerated. C. Determine if any other symptoms have developed. D. Instruct the client to increase oral fluid intake.

Correct Answer is C

Explanation

Choice A reason: Advising the use of an over-the-counter antipyretic is not the first step. It's important to assess for other symptoms that could indicate an allergic reaction or other complications.

Choice B reason: Asking if the medication has been kept refrigerated is relevant but secondary to assessing for other symptoms.

Choice C reason: Determining if any other symptoms have developed helps identify whether the fever is related to a possible allergic reaction, superinfection, or other adverse effects of the medication.

Choice D reason: Instructing the client to increase oral fluid intake is general advice that does not address the need to assess for other potentially serious symptoms.

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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

Naxlex Comprehensive Predictor Exams

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

Six days after starting a prescription for oral amoxicillin solution, a client calls the clinic to report the onset of a low-grade fever. Which action should the nurse implement?

Correct Answer is C

Explanation

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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?

A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

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A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?