Parkinson Disease

A nurse delegates care for a client with Parkinson disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this clients care? a. Allow the client to be as independent as possible with activities. b. Assist the client with frequent and meticulous oral care. c. Assess the clients ability to eat and swallow before each meal. d. Schedule appointments early in the morning to ensure rest in the afternoon.

Allow the client to be as independent as possible with activities.

Which statements by a student nurse regarding the drugs used to treat Parkinson's disease indicate effective learning? Select all that apply.

"Benztropine should be avoided in older patients." "Entacapone should not be taken with cheese and red wine. "Apomorphine causes orthostatic hypotension and drowsiness.

The registered nurse is teaching a nursing student about sleep patterns associated with Parkinson's disease (PD). Which statement of the nursing student indicates a need for further teaching by the nurse?

"I will inform the patient that driving is not dangerous."

The home health nurse is checking in on a patient with dementia and the patient's spouse. The spouse confides to the nurse, "I am so tired and worn out." What is the nurse's best response?

"Make sure you take some time off and take care of yourself."

A patient with Parkinson's disease is prescribed rasagiline mesylate for relieving freezing episodes. Which instruction by the nurse would be appropriate while administering the drug?

"Strictly avoid foods with cheese or cheese products."

A patient newly diagnosed with Parkinson's disease is being discharged. Which instruction is best for the nurse to provide to the patient's spouse?

Administer medications promptly on schedule to maintain therapeutic drug levels

Which interventions may be needed in a patient with Parkinson's disease (PD) who has developed drug tolerance?

Changing the drug or its frequency of administration

After teaching the wife of a client who has Parkinson disease, the nurse assesses the wifes understanding. Which statement by the clients wife indicates she correctly understands changes associated with this disease? a. His masklike face makes it difficult to communicate, so I will use a white board. b. He should not socialize outside of the house due to uncontrollable drooling. c. This disease is associated with anxiety causing increased perspiration. d. He may have trouble chewing, so I will offer bite-sized portions.

He may have trouble chewing, so I will offer bite-sized portions.

Which psychosocial symptoms of Parkinson's disease does the nurse recognize? Select all that apply.

Depression impaired cognition Sleep disturbances

A patient with Parkinson disease is successfully being treated with carbidopa/levodopa. Over the past few days, the patient states symptoms occur well before it is time for the next dose of medication. Which alterations does the nurse anticipate the health care provider will make to the drug regimen?

Drug holiday Change in drug choice Reduction in drug dosage Change in dose frequency

Which interventions are included in the plan of care for a patient with Parkinson's disease? (3 things)

Give extra time for response to questions Monitor for side effects of prescribed medications Collaborate with physical and occupational therapists

A patient with Parkinson's disease is being discharged home with his wife. To ensure the success of the management plan, which discharge action is most effective?

Involving the patient and his wife in developing a plan of care

Which drug for Parkinson Disease (PD) is often the initial drug of choice and will be used by almost all PD patients at some point in the progression of the disease?

Levodopa-carbidopa (Sinemet)

A patient has Parkinson disease (PD). Which nursing intervention best protects the patient from injury?

Monitoring the patient's sleep patterns

What teachings should the nurse provide for a patient with Parkinson's disease (PD) to help the patient manage the condition? Select all that apply

Practice yoga and tai-chi. Avoid driving automobiles Avoid sleeping during the daytime

A patient with Parkinson's disease reports insomnia. Which drug does the nurse expect the health care provider to prescribe to aid in sleep?

Zolpidem tartrate

A nurse assesses a client with Parkinsons disease. Which motor changes should the nurse monitor for in this client? select all a. Shuffling gait b. Jerky hand movements c. Continuous chewing motions d. Tremors of the hands

a. Shuffling gait c. Continuous chewing motions d. Tremors of the hands

A nurse plans care for a client with Parkinson disease. Which intervention should the nurse include in this clients plan of care? a. Ambulate the client in the hallway twice a day. b. Ensure a fluid intake of at least 3 liters per day. c. Teach the client pursed-lip breathing techniques. d. Keep the head of the bed at 30 degrees or greater.

d. Keep the head of the bed at 30 degrees or greater. Elevation of the head of the bed will help prevent aspiration.