Parkinson Disease Post Class Quiz

A nurse is developing a plan of care for the nutritional needs of a client who has stage 4 Parkinson's disease. Which action should the nurse include in the plan of care? (Select all that Apply)

-Monitor actual food and fluid intake. -Offer high-calorie, high-protein foods for meals. -Add thickener to liquids -Offer nutritional supplements between meals.

A patient with Parkinson's disease has a nursing diagnosis of impaired physical mobility related to bradykinesia. Which action will the nurse include in the plan of care?

Instruct the client to avoid concentrating on his or her feet when walking to prevent falls

The nurse is caring for a client with Parkinson's disease. Which intervention does the nurse implement to prevent respiratory complications in the client?

Maintain the head of the bed at 30 degrees or greater.

A patient with Parkinson's disease has become tolerant to levodopa, and is instructed to take a drug holiday. Which of the following are true regarding a drug holiday?

The patient should stop the medication.

A patient has a new prescription for a dopamine agonist- Pramipexole (Mirapex)- to control symptoms of Parkinson's disease. Which information obtained by the nurse is an adverse effect of this medication?

The patient's orthostatic blood pressure is 90/46 mm Hg when standing.

The nurse is talking to the family of a client who has Parkinson's disease. Which statement indicates that the family has a good understanding of the changes in motor movement associated with this disease?

"She has trouble chewing so I will offer bite-sized portions."

Levodopa (Laradopa) is prescribed for a client with Parkinson's disease. The nurse's discharge teaching should include: (Select all that apply.)

-Teach the family that long term use can lead to dyskinesia. -Teach the family to give the drug before meals to increase the absorption.

A patient with Parkinson's disease is admitted to the hospital for treatment of an acute infection. Which nursing interventions will be included in the plan of care related to the patients history of Parkinson's disease?(select all that apply)

-Use assistive devices. -Have the patient take small bites. -Place a fall risk armband on the patient.

A patient is taking a MAO-B, Entacapone (Comtan) what foods and beverages should be avoided? (Select all that Apply)

Cheese, Sausage, Red Wine, Beer.

The client receiving an anticholinergic drug for treatment of Parkinson's disease complains of dry mouth. Nursing intervention should include advising the client to:

Chew sugarless gum, and suck on sugarless hard candy.

A patient with Parkinson's disease has decreased tongue mobility and an inability to move the facial muscles. Which nursing diagnosis is of highest priority?

Imbalanced nutrition: less than body requirements rational: The data about the patient indicate that poor nutrition will be a concern because of decreased swallowing. The other diagnoses also may be appropriate for a patient with Parkinson's disease, but the data do not indicate they are current problems for this patient.

Which information about a patient who is being treated with carbidopa/levodopa (Sinemet) for Parkinson's disease is most important for the nurse to report to the health care provider?

Uncontrolled head movement rational: Dyskinesia is an adverse effect of the Sinemet, indicating a need for a change in medication or decrease in dose. The other findings are typical with Parkinson's disease.

A patient is seen in the health clinic with symptoms of a stooped posture, shuffling gait, and pill rolling-type tremor. The nurse will anticipate teaching the patient about

antiparkinsonian drugs.