413 test 2

-Mr. Wilson attempts to stand, he is weak, drowsy, and diaphoretic. What initial action should the nurse take?

Evaluate Mr. Wilson's vital signs before transferring him to his bed.

Which of the following are risk factors for developing Parkinson's disease? Select all that apply.

Family history Advanced age Toxin exposure Gender

A nurse is assessing a client for manifestations of parkinson's disease. which of the following are expected findings?

- pill rolling tremor of the fingers -shuffling gate -drooling -lack of facial expression

The nurse is caring for a client with dementia and is concerned for impaired social interaction. Which intervention should the charge nurse intervene?

Correcting the client's thought process as it relates to reality.

-The nurse is administering Leo's 9:00 a.m. medications via the PEG tube. Leo's medications include carbidopa-levodopa (Sinemet) scored tablet, benztropine mesylalte (Cogentin) elixir, and a baby aspirin.

Crush each tablet individually, dissolve in warm water, and administer separately via the PEG tube. Flush tube with water before medication administration, in-between each medication, and after medication administration.

An elderly, long- term care client suddenly becomes confused, not knowing where they are and asking for their mother (who has been dead for 40-years). Cranial nerve VII intact, PERRLA present, speech is clear, and grips are equal at 4+. Which condition does the registered nurse suspect?

Delirium

-Which intervention should the nurse implement first to address Leo's weight loss?

Discuss providing supplemental feedings between meals.

A family member of a client diagnosed with macular degeneration asked the nurse about ways to prevent the disease. Which of these options should the nurse include? Select all that apply.

Do not smoke. Eat a healthy diet. Take ARED vitamins. Sustain a healthy weight. Keep blood pressure under control.

A long-term elderly resident is experiencing some confusion. The nurse suspects delirium instead of dementia by which of these observations?

The confusion has come on abruptly and the client has decreased urinary output.

The nurse is caring for a client with Parkinson's disease. Which of the following would be the goal of treatment for this client?

To maintain optimal function and independence.

A nurse is caring for a client who has Alzheimer's. The family member asks the nurse about the risk factors. Which should be included?

- exposure to metal waste products - previous head injury - history of herpes

A nurse is developing a plan of care for the nutritional needs of a client who has stage IV parkinsons. which of the following should the nurse include?

-Record diet and fluid intake daily -Offer cold fluids such as milkshakes (thick and cold fluids are tolerated easier) -offer nutritional supplements between meals (to maintain clients weight)

3 key signs of parkinsons

-shuffling gait and decreased arm swinging -pill rolling -tremors at rest

-Which question is most important to ask Mr. Wilson's daughter before developing the plan of care to address caregiver role strain?

A."What do you find most stressful in your daily life?" *OPEN ended question*

-After the nurse administers the medications, Leo has a large liquid stool. While the nurse and UAP are changing the bed linens, Leo complains of cramps in his legs.

A.Assess Leo's serum potassium level.

-Because Leo walks with a shuffling gait and tends to lean forward when walking, the home health nurse discusses Leo's continued weakness, mobility concerns, and safety issues with Nancy. -In providing client teaching related to ambulation, which instruction should the nurse include?

A.Demonstrate how to walk with a wide-based stance.

-Leo is concerned because he is having difficulty eating and bathing independently. He tells the nurse that he is worried about Nancy having to do everything for him and that he does not want to be a burden to her.

A.Occupational therapist.

-Which behavior(S) are commonly associated with caregiver role strain? (Select all that apply.)

A.Reports of physical symptoms such as frequent headaches. B.Feels a sadness that will not go away. d.Frequently forgets to change care recipient's soiled linens. e. Withdraws from family and friends.

nursing interventions for parkinsons

ABCs Airway- suction at bedside for excess drooling Eating- pureed diet or small bite sized pieces Add thickening agents to fluids Monitor swallowing for dysphagia

Which of the following are risk factors for developing Alzheimer's disease? Select all that apply.

Advancing age. Family history/genetics. Alcohol and smoking usage. Cardiovascular disease. Asthma.

-The home health nurse visits Leo and Nancy's home weekly. One week after the initial visit, Leo shares with the nurse that he has not had a bowel movement in 3 days.

Assess Leo's bowel sounds and check his abdomen for distention.

-The nurse obtains the following assessment data: T 96.8° F (35.5 ° C), P 100, R 24, BP 70/44, O2 saturation 96%. -After assisting Mr. Wilson to the bed, which nursing action has the highest priority?

Elevate Mr. Wilson's feet fifteen degrees. (elevate feet to help BP)

-In planning care, which nursing diagnosis is the priority?

Impaired physical mobility related to muscle rigidity and motor weakness.

A nurse is working in a long term care facility and is planning care for a client who has moderate alzheimers. which of the following interventions should be included?

Reorient the client to self and current events.

-Which statement explains the mechanism of action of Sinemet in the treatment of Parkinson's disease?

Sinemet is converted to dopamine and provides an exogenous form of dopamine replacement.

A nurse is providing teaching to the partner of a client who has Alzheimer's and has a new prescription for donepezil. Which of the following statements by the partner indicates that the teaching was affected?

This medication should help my husbands daily function

A nurse is caring for a client who has early stage alzheimer's and has a prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication?

You should take this medication before going to bed at the end of the day.

client with alzheimer's is frustrated, stating they are waiting for their husband to pick them up, but their spouse has been dead for over 10 years now. whats the best action

acknowledge their feelings, redirect with new activities

A nurse is caring for a client who has parkinsons's and is starting to display bradykinsesia. which of the following is an appropriate action ?

give client extra time to perform activities

The registered nurse (RN) will assess the client for which assessment finding as an indication of the effectiveness of carbidopa/levodopa drug therapy? Select all that apply.

improvement of tremors improvement of ambulation improvement of stiffness

Which condition is identified as a cause of the development of delirium? Select all that apply.

increased stress depression infection opioid use hypoxia

An 81-year-old client recently diagnosed with Alzheimer's disease has become forgetful and has been experiencing short-term memory loss. Which of the following effects of Alzheimer's is an indication of the next stage of the disease?

long-term memory loss. The first stage is no impairment. The second stage is forgetfulness and short-term memory loss. The third stage is long-term memory loss. The fourth stage is bedridden accompanied by uncontrolled bowels and urine.

Which of the following are signs/symptoms of Alzheimer's disease?

memory loss, confusion, agitation, inability to perform self-care, personality changes, difficulty concentrating, forgetfulness, and wandering.

While providing care for the client prescribed carbidopa/levodopa for the treatment of Parkinson's disease, the registered nurse (RN) anticipates the presentation of which side-effect of this drug that can result in further problems? Select all that apply.

orthostatic hypotension hallucinations

A nurse is caring for a client who displays manifestations of stage 3 parkinsons. which of the following actions should the nurse include?

provide a walker for ambulation

A nurse is making a home visit to a client who is in the late stage of alzheimer's. the caregiver wishes to discuss concerns about the client's nutrition and the stress of providing care. which of the following actions should the nurse take?

provide information on resources for respite care.