Adult 1 Unit 6: Chapter 65 Practice Questions

An older adult has encouraged the spouse husband to visit their primary provider, stating a concern the spouse may have Parkinson disease. Which description of the spouse's health and function is most suggestive of Parkinson disease?

"Lately he seems to move far more slowly than he ever has in the past."

A client with Parkinson disease is experiencing episodes of constipation that are becoming increasingly frequent and severe. The client reports achieving relief for the past few weeks by using over-the-counter laxatives. How should the nurse respond?

"Let's explore other options, because laxatives can have side effects and create dependency."

The nurse is caring for a client with Huntington disease who has been admitted to the hospital for treatment of malnutrition. What independent nursing action should be implemented in the client's plan of care?

Apply deep, gentle pressure around the client's mouth to aid swallowing.

A nurse is planning discharge education for a client who underwent a cervical discectomy. What strategies would the nurse assess that would aid in planning discharge teaching?

Care of the cervical collar

The clinic nurse caring for a client with Parkinson disease notes that the client has been taking levodopa and carbidopa for 7 years. For what common side effect should the nurse assess this client?

Dyskinesia

A client brought to the clinic by the client's spouse and son, is diagnosed with Huntington's disease. When providing anticipatory guidance, the nurse should address the future possibility of what effect of Huntington disease?

Emotional and personality changes

The nurse is caring for a client who is scheduled for a cervical discectomy the following day. During health education, the client should be made aware of what potential complications?

Hematoma at the surgical site

A client with amyotrophic lateral sclerosis (ALS) is being visited by the home health nurse who is creating a care plan. Which of the following nursing diagnoses is most likely for a client with this condition?

Impaired verbal communication

The nurse in an extended care facility is planning the daily activities of a client with post-polio syndrome. The nurse recognizes the client will best benefit from physical therapy when it is scheduled at what time?

In the morning

The nurse is caring for a boy who has muscular dystrophy. When planning assistance with the client's ADLs, what goal should the nurse prioritize?

Maximizing the client's recovery from the disease

A client with a new diagnosis of amyotrophic lateral sclerosis (ALS) is overwhelmed by the diagnosis and the known complications of the disease. How can the client best make known their wishes for care as the disease progresses?

Prepare an advance directive.

The nurse caring for a client diagnosed with Parkinson disease has helped prepare a plan of care that would include which goal?

Promoting effective communication

A client has just been diagnosed with Parkinson disease and the nurse is planning the client's subsequent care for the home setting. What nursing diagnosis should the nurse address when educating the client's family?

Risk for injury

A client with Parkinson disease is undergoing a swallowing assessment because the client has recently developed adventitious lung sounds. The client's nutritional needs should be met by what method?

Semisolid food with thick liquids

A client newly diagnosed with a cervical disk herniation is receiving health education from the clinic nurse. What conservative management measures should the nurse teach the client to implement?

Sleep on a firm mattress.