To achieve the outcome of fall prevention at home in the patient diagnosed with Parkinson's Disease (PD), which intervention would the nurse include in the plan of care?

Arrange for social service consult for assistance with medication purchase.

Remove any obstacles such as area rugs, wires and unnecessary decorations.

Have the patient seen by a nursing assistant 3 times a week for hygiene assistance.

Refer the client to a nutritionist to address dietary measures.

Answer and Explanation

The Correct Answer is B

A. Arrange for social service consult for assistance with medication purchase: While this is important for ensuring the patient has access to necessary medications, it is not directly related to fall prevention. Medication access is a separate concern and does not address the immediate environmental or physical aspects contributing to falls in a patient with Parkinson's Disease.

B. Remove any obstacles such as area rugs, wires and unnecessary decorations: Environmental safety is crucial in fall prevention for patients with Parkinson's Disease. Due to motor symptoms like tremors, rigidity, and bradykinesia, individuals with PD are at an increased risk of tripping and falling. Removing obstacles in the home environment helps create a safer space and reduces the risk of falls.

C. Have the patient seen by a nursing assistant 3 times a week for hygiene assistance: While hygiene assistance may be helpful, this does not directly address fall prevention. Regular nursing or caregiver assistance can help with activities of daily living, but the most effective fall prevention strategy would be to modify the environment and address physical factors directly.

D. Refer the client to a nutritionist to address dietary measures: A nutritionist can be helpful for managing the patient's overall health, but diet does not directly prevent falls in Parkinson's Disease. Fall prevention strategies focus more on environmental changes, physical safety, and managing motor symptoms.

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Correct Answer is C

Explanation

A. Ondansetron (Zofran) and metoclopramide (Reglan): These medications are used to treat nausea and vomiting, often related to gastrointestinal issues or as side effects of other treatments. They are not indicated for the treatment of Huntington's Disease (HD), which primarily involves movement and psychiatric symptoms.

B. Haloperidol (Haldol) and chlorpromazine (Thorazine): These are antipsychotic medications that can be used to treat the psychiatric symptoms of Huntington's Disease (such as agitation, psychosis, and chorea). However, they are older, first-generation antipsychotics and are associated with more severe side effects, such as extrapyramidal symptoms. While they can still be used, they are generally less favored due to these side effects.

C. Risperidone (Risperdal) and quetiapine (Seroquel): These are atypical antipsychotic medications, which are often preferred for managing psychiatric symptoms (e.g., psychosis, aggression, mood disturbances) in Huntington's Disease. These medications have a lower risk of extrapyramidal symptoms compared to first-generation antipsychotics, making them a better choice for patients in the later stages of HD.

D. Riluzole (Rilutek) and baclofen (Lioresal): Riluzole is used in amyotrophic lateral sclerosis (ALS), not Huntington's Disease. Baclofen is a muscle relaxant that can be used to manage spasticity, but it is not a primary treatment for HD. The focus for HD treatment would be more on managing movement disorders and psychiatric symptoms, rather than spasticity.

Correct Answer is ["342.9"]

Explanation

To calculate the IV pump rate in mL/hr, use the formula:

Rate (mL/hr) = (Total Volume in mL ÷ Time in minutes) × 60

Given:

Volume = 200 mL

Time = 35 minutes

Rate = (200 ÷ 35) × 60 = 5.7143 × 60 = 342.86

Rounded to the nearest tenth:

342.9 mL/hr

The nurse should set the IV pump to 342.9 mL/hr.

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To achieve the outcome of fall prevention at home in the patient diagnosed with Parkinson's Disease (PD), which intervention would the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse anticipates which of the following medications to be ordered for a patient in the later stages of Huntington's Disease (HD)?

Correct Answer is C

Explanation

A client is ordered to receive a bolus of 200 mL of NSS in 35 minutes. At what rate should the nurse set the IV pump? (Use a preceding zero if necessary. Do not use trailing zeros. Round to the nearest tenth if necessary)

Correct Answer is ["342.9"]

Explanation

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