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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inserting an oral airway may be appropriate if the client is biting the endotracheal tube, but in this scenario, the cause of the low-pressure alarm is unknown and could be due to disconnection or a leak — a more urgent issue requiring immediate action.
B. Suctioning and resetting the alarm could delay appropriate ventilation if the issue is a disconnection or leak; it’s not the priority intervention in an unclear emergency.
C. When the source of a low-pressure alarm (which often indicates a leak or disconnection) cannot be identified and the client’s ventilation status is in question, the nurse should immediately disconnect the client from the ventilator and manually ventilate with a bag-valve mask to ensure oxygenation until the issue is resolved.
D. Notifying the respiratory therapist and provider is appropriate after immediate interventions are performed to maintain the patient’s airway and oxygenation.
Correct Answer is ["90"]
Explanation
Step 1: Convert weight to kilograms
335 lb ÷ 2.2 = 152.3 kg
Step 2: Calculate the dose of Alteplase (tPA)
0.9 mg/kg × 152.3 kg = 137.1 mg
Step 3: Apply the maximum dose limit
The calculated dose (137.1 mg) exceeds the maximum allowed dose of 90 mg.
Therefore, the dose to administer is 90 mg.
Final Answer: 90 mg
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