ATI Med Surg Nursing: Parkinson's Disease

A nurse is caring for a client who displays signs of stage III Parkinson's disease. which of the following actions should the nurse include in the plan of care?

A, Recommend a community support group B. Integrate a daily exercise routine. C. Provide a walker for ambulation. D. Perform ADLs for the client Answer: C

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

A. Decreased vision B. Pill-rolling tremor of the fingers C. Shuffling gait D. Drooling E. Bilateral ankle edema F. Lack of facial expression Answers: BCDF

A nurse is developing a plan of care for the nutritional needs of a client who has stage IV Parkinson's disease. Which actions should the nurse include in the plan of care? SATA

A. Provide three large balanced meals daily B. Record diet and fluid intake daily C. Document weight every other week D. Place the client in Fowler's position to eat E. Offer nutritional supplements between meals Answers: BE

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. Expected urine to become dark-colored C. Avoid foods containing tyramine D. Report any skin discoloration Answer: A

A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate reaction by the nurse?

A. Teach the client to walk more quickly when ambulating 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 Answer: D

A nurse is preparing a plan of care for a client who has a new diagnosis of Parkinson's disease. What should the nurse include in the plan of care? Nursing Care: Describe six nursing actions

Add thickener to liquids to prevent aspiration Consult with a dietitian about appropriate diet Encourage periods of rest between activities Allow adequate time to rise slowly from a sitting to standing position Encourage slower speech when expressing thoughts Observe for signs of depression and dementia

A nurse is preparing a plan of care for a client who has a new diagnosis of Parkinson's disease. What should the nurse include in the plan of care? Complications: Identify four

Aspiration due to pharyngeal muscle involvement making swallowing difficult Orthostatic hypotension, slow movement, and muscle rigidity Change in speech pattern: slow, monotonous speech Altered emotional changes that can include depression and fear

A nurse is preparing a plan of care for a client who has a new diagnosis of Parkinson's disease. What should the nurse include in the plan of care? Alteration in Health (Diagnosis): Define Parkinson's disease

Parkinson's disease is a debilitating condition that progresses to complete dependent care. The disease involves a decrease in dopamine production and an increase in secretion of acetylcholine, causing resting tremor, slowed movement, and muscular rigidity.