A client diagnosed with Parkinson's disease has developed slurred speech and drooling.
The nurse knows that these symptoms indicate which of the following?
The client is exhibiting signs of medication overdose.
Medication needs to be adjusted to higher doses.
The client is having an exacerbation.
The disease has entered the late stages.
The Correct Answer is D
Choice A rationale
Signs of medication overdose in Parkinson's disease typically include hallucinations, confusion, and dyskinesia (involuntary movements), rather than slurred speech and drooling. These symptoms are more associated with disease progression.
Choice B rationale
Increasing the medication dose might help in early or middle stages, but slurred speech and drooling indicate more advanced disease stages. Adjusting the dose might not address these specific symptoms effectively.
Choice C rationale
An exacerbation in Parkinson's disease would typically involve a worsening of existing symptoms like tremors, rigidity, and bradykinesia (slowness of movement). Slurred speech and drooling suggest a more chronic progression rather than an acute exacerbation.
Choice D rationale
In the late stages of Parkinson's disease, symptoms can include significant motor dysfunction, slurred speech, and excessive drooling due to impaired swallowing and muscle control. These are signs of advanced disease progression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Water or saline baths can help cleanse and soothe the skin but do not specifically target psoriasis exacerbations. They are not the typical therapeutic solution for this condition.
Choice B rationale
Sodium bicarbonate baths may help with itching but are not specifically indicated for psoriasis. They are more commonly used for conditions like chickenpox or sunburn.
Choice C rationale
Colloids, such as oatmeal baths, can relieve itching and provide comfort but are not the primary therapeutic choice for psoriasis exacerbations.
Choice D rationale
Medicated tars are a well-known treatment for psoriasis. They help slow the rapid growth of skin cells, reduce inflammation, and relieve itching, making them effective for managing psoriasis symptoms.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Coping strategies are relevant to overall health and well-being, but they are not directly related to nutritional assessment. Nutritional assessments focus on physical and dietary data rather than psychological coping mechanisms.
Choice B rationale
Wrist circumference can be used as an anthropometric measure of body frame size, but it is not a standard parameter in a comprehensive nutritional assessment. More common measurements include height, weight, and BMI.
Choice C rationale
Clinical examination findings are critical in nutritional assessments to identify physical signs of malnutrition, such as muscle wasting, edema, or skin changes. These observations help assess the client’s nutritional status and needs.
Choice D rationale
BMI (Body Mass Index) is a widely used indicator of body fat based on height and weight. It helps classify individuals into categories like underweight, normal weight, overweight, or obese, providing insight into nutritional health.
Choice E rationale
Dietary data, including food intake, preferences, and restrictions, are essential components of a nutritional assessment. Understanding a client's dietary habits allows the nurse to identify nutritional deficiencies or excesses and plan appropriate interventions
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