Parkinson's Disease Practice Questions

All of these nursing activities are included in the care plan for a 78-year-old man with Parkinson's disease who has been referred to your home health agency. Which ones will you delegate to a nursing assistant (NA)? (Choose all that apply). A Check for orthostatic changes in pulse and blood pressure. B Monitor for improvement in tremor after levodopa (L-dopa) is given. C Remind the patient to allow adequate time for meals. D Monitor for abnormal involuntary jerky movements of extremities. E Assist the patient with prescribed strengthening exercises. F Adapt the patient's preferred activities to his level of function.

A. Check for orthostatic changes in pulse and blood pressure. C. Remind the patient to allow adequate time for meals. E. Assist the patient with prescribed strengthening exercises.

The client diagnosed with early stage Parkinson's disease has been prescribe parmipexole. which side effects of this medication should the nurse discuss with the client? Select all that apply A. Daytime somnolence B. on-off effect C. Excessive salivation D.Pill-rolling motion E. Stiff muscles

A. Daytime somnolence E. Stiff muscles

A nurse is providing information to a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hallucinations B. Increased salivation C. Diarrhea D. Discoloration of urine

A. Hallucinations

A nurse is reinforcing teaching with a client who has Parkinson's disease and has a new prescription for bromocriptine. Which of the following instructions should the nurse include in the teaching? A. Rise slowly when standing B. Expect urine to become dark colored C. Avoid foods high in tyramine D. Report any skin discoloration

A. Rise slowly when standing

Which is an expected outcome for a client with Parkinson's disease who has had a pallodotomy? A. improved functional ability B. Reduced emotional stress C. Increased alertness D. Better appetite

A. improved functional ability

The nurse is caring for a client newly diagnosed with Parkinson's disease who is receiving levodopa. Which interventions should the nurse implement? Select all that apply. A. instruct the client to rise slowly from seated or lying position B. Teach about on-off effects of the medication C. Discuss taking the medication with meals or snacks D. Tell the client that the sweat and urine may become darker E. Inform the Client about having routine blood levels drawn

A. instruct the client to rise slowly from seated or lying position B. Teach about on-off effects of the medication D. Tell the client that the sweat and urine may become darker

Which of the goals is collaboratively established by the client with Parkinson's disease, nurse and physical therapist? A.to maintain joint flexibility B. to build muscle strength C. improve muscle endurance D. to reduce ataxia

A.to maintain joint flexibility

Which statement made by the wife of a client diagnosed with Parkinson's disease indicates the medication teaching is effective? A. "The medications will control all of the symptoms of Parkinson's disease if they are taken correctly." B. "the medications provide symptom management, but the effects may not last." C. " the medications will have to be taken for 6 months then stopped." D. "the medications must be tapered off when he is better or he will have a relapse".

B. "the medications provide symptom management, but the effects may not last."

A client with Parkinsons disease is prescribed levodopa therapy. Improvement in which area indicates effective therapy? A. Mood B. Muscle rigidity C. appetite D. Alertness

B. Muscle rigidity

A nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are expected findings? Select all that apply. A. Decreased vision B. Pill-rolling tremor at fingers C. Shuffling gait D. Drooling E. Bilateral ankle edema F. Lack of facial expression

B. Pill-rolling tremor at fingers C. Shuffling gait D. Drooling F. Lack of facial expression

A client with Parkinson's disease needs a long time to complete morning care but becomes annoyed when the nurse offers assistance and refuses all help. Which action is the nurses best initial response in this situation? A.Tell the client firmly that he or she needs assistance and help with the morning care. B. Praise the client for the desire to be independent and give extra time and encouragement C. Tell the client that he or she is being unrealistic about the abilities and must accept the fact that he or she needs help D. Suggest to the client to at least modify the morning care routine if he or she insists on self care

B. Praise the client for the desire to be independent and give extra time and encouragement

when obtaining a health history, the nurse expects a client with a recent diagnosis of Parkinsons disease to report which sign or symptom? A. Weight loss B. Slowness of movement C. Continual motor tremors D. Depression

B. Slowness of movement

The nurse is preparing a care plan for a client diagnosed with Parkinson's Disease. Which statement is the goal of medication therapy for the client diagnosed with PD? A. the medication will cure the client of PD B. The client will maintain functional ability C. the client will be able to take the medication as ordered D. The medication will control all symptoms of PD

B. The client will maintain functional ability

The nurse observes that when client with Parkinson's disease unbuttons the shirt, the upper arm tremors disappear. Which statement best guides the nurses analysis of this observation about the clients tremors? A. The tremors are probably psychological and can be controlled at will B. The tremors sometimes disappear with purposeful and voluntary movements C. The tremors disappear when the clients attention is diverted by some activity D. There is no explanation for the observation; it is a chance reoccurrence

B. The tremors sometimes disappear with purposeful and voluntary movements

At what time of say should the nurse encourage a client with Parkinson's disease to schedule the most demanding physical activities to minimize the effects of hypokinesia? A. early in the morning, when the clients energy level is high B. To coincide with the peak action of drug therapy C. Immediately after a rest period D. When family members will be available

B. To coincide with the peak action of drug therapy

What is an initial sign of Parkinson's disease? A. Rigidity B. Tremor C. Bradykinesia D. Akinesia

B. Tremor

A HCP has prescribe carbidopa-levadopa four times per day for a client with Parkinson's disease. The client wants to "end it all now that the Parkinson's disease has progressed." What should the nurse do? Select all that apply. A. Explain that the new prescrption will treat the depression B. Encourage the client to discuss feelings as the medication is being administered C. Contact the HCP before administering the medication D. Determine if the client is on an MAOI E.Determine is the client is at risk for suicide

C. Contact the HCP before administering the medication D. Determine if the client is on an MAOI E.Determine is the client is at risk for suicide

While caring for a client who has been recently diagnosed with Parkinson's disease, the nurse should understand that: A. Intellectual capabilities will decrease B. Diversional interest many decrease C. Mood fluctuations may occur D. Communication skills may fluctuate

C. Mood fluctuations may occur

A client with parkinsons disease has received a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe the UAP performing all of these actions. For which action must you intervene? A. Helping the client ambulate to the bathroom and back to bed B. Reminding client not to looking at his feet when he is walking C. Performing the clients complete bathing and oral care D. Setting up the clients tray and encouraging the client to feed himself

C. Performing the clients complete bathing and oral care

A nurse is teaching a client who has a new prescription for levodopa/carvedopa for Parkinson's disease. Which of the following instructions should the nurse include? A. Increase intake of protein-rich foods B. Expect muscle twitching to occur C. Take this medication with food D. Anticipate relief of manifestations in 24 hours

C. Take this medication with food

Which client diagnosed with Parkinson's disease should the nurse question adminstering benztropine? A. the client with CHF B. The client who has had an MI C. The client diagnosed with glaucoma D. The client who is undergoing hip replacement surgery

C. The client diagnosed with glaucoma

The older adult client diagnosed with Parkinson's disease has been prescribed the combination medication carvedopa/levadopa. Which data indicates the medication is effective? A. The client has cogwheel motion when swinging the arms B. The client does not display emotions when discussing the illness C. The client is able to walk upright without stumbling D. The client eats 30-40% of meals within 1 hour

C. The client is able to walk upright without stumbling

A client is being switched from levodopa to carbidopa-levodopa. The nurse should monitor for which complication during medication changes and dosage adjustments. A.Euphoria B. Jaundice C. Vital signs fluctuations D. Signs and symptoms of diabetes

C. Vital signs fluctuations

The nurse develop a teaching plan for a client newly diagnosed with Parkinson's disease. Which topic is the most important to include in the plan? A. Maintaining a balanced nutritional diet B. enhancing the immune system C. maintaining a safe enviroment D. engaging in diversional activity

C. maintaining a safe enviroment

A client with Parkinson's disease is experiencing anorexia and vomitting. The client is taking levodopa. What will be the initial nursing activity? A. Assess clients food preferences B. Monitor the clients blood pressure C. Hold clients medication and call the HCP D. Administer clients medication with food.

D. Administer clients medication with food.

Which statement is an advantage of administering entacapone to a client diagnosed with Parkinson's disease? A. Entacapone increases the vasodilating effect of levodopa B. Levodopa can be discontinued while the client is taking entacapone C. There are no side effects of the drug to interfere with treatment D. Entacapne causes blood levels of levodopa to be smoother and more sustained

D. Entacapne causes blood levels of levodopa to be smoother and more sustained

A nurse is caring for a patient who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse? A. Teach the client to walk more quickly when ambualting B. Complete passive range of motion exercises daily C. Place the client on a low- protein, low calorie diet D. Give the client extra time to perform activities

D. Give the client extra time to perform activities

Which nursing approach is the most helpful to a client with Parkinson's disease who is experiencing freezing of gait with difficulty initiating Movement? A. Pull the client forward to initiate walking B. Instruct the client to use a wheelchair C. Have the client remain still D. Tell the client to march in place

D. Tell the client to march in place

Which goal is the most realistic for a client diagnosed with Parkinson's disease? A. to cure the dieased B. to stop progression of the disease C.to begin preparation for terminal care D. To maintain optimal body function

D. To maintain optimal body function