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 C
Explanation
Choice A rationale
Selective estrogen receptor modulators (SERMs) are used for osteoporosis but are not typically the first-line treatment. They help to maintain bone density by mimicking estrogen's beneficial effects on bone.
Choice B rationale
Calcitonin is used to treat osteoporosis but is not considered a first-line medication. It works by inhibiting bone resorption, which helps to slow bone loss.
Choice C rationale
Bisphosphonates are the first-line medication for treating and preventing osteoporosis. They work by inhibiting bone resorption, which helps to maintain or increase bone density and reduce the risk of fractures.
Choice D rationale
Anabolic agents, such as parathyroid hormone analogs, are used for osteoporosis but are typically reserved for severe cases or when other treatments are not effective. They work by stimulating bone formation.
Correct Answer is A
Explanation
Choice A rationale
Potassium-rich foods, such as bananas and potatoes, are recommended for clients with prolonged diarrhea to replace lost electrolytes and maintain normal cellular function.
Choice B rationale
High-fat foods are not recommended for clients with prolonged diarrhea, as they can exacerbate symptoms and are difficult to digest.
Choice C rationale
High-fiber foods may worsen diarrhea by increasing stool bulk and frequency.
Choice D rationale
While protein-rich foods are important, they do not specifically address the electrolyte imbalances caused by prolonged diarrhea.
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