A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesi
Give the patient extra time to perform activities.
Teach the client to walk more quickly when ambulatinG.
Place the client on a low-protein, low-calorie diet.
Complete passive range-of-motion exercises daily.
The Correct Answer is A
Choice A reason: Giving the patient extra time to perform activities is an appropriate action by the nurse because it respects the patient's autonomy and dignity, and reduces frustration and anxiety. Bradykinesia is a condition of slow movement that affects people with Parkinson's disease due to decreased dopamine levels in the brain.
Choice B reason: Teaching the client to walk more quickly when ambulating is not an appropriate action by the nurse because it can increase the risk of falls and injuries, and worsen the patient's symptoms. Bradykinesia can impair the patient's balance, coordination, and gait, making it difficult to initiate and maintain movement.
Choice C reason: Placing the client on a low-protein, low-calorie diet is not an appropriate action by the nurse because it can lead to malnutrition, weight loss, and muscle wasting, which can further compromise the patient's health and function. Bradykinesia does not affect the patient's metabolism or nutritional needs.
Choice D reason: Completing passive range-of-motion exercises daily is not an appropriate action by the nurse because it does not address the underlying cause of bradykinesia, which is reduced dopamine production in the brain. Passive range-of-motion exercises are movements performed by another person without the patient's active participation, which can decrease the patient's motivation and self-efficacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Decreasing bright lights is not the first action that the nurse should perform because it does not address the priority problem of potential infection and inflammation of the meninges, which can cause serious complications such as brain damage or deatH. Decreasing bright lights can help reduce photophobia and headache, but it is not an urgent intervention.
Choice B reason: Initiating IV access is not the first action that the nurse should perform because it does not address the priority problem of potential infection and inflammation of the meninges, which can cause serious complications such as brain damage or deatH. Initiating IV access can facilitate fluid and medication administration, but it is not an immediate intervention.
Choice C reason: Administering antibiotics is not the first action that the nurse should perform because it requires a physician's order and confirmation of the diagnosis and causative organism by laboratory tests such as blood culture or cerebrospinal fluid (CSF) analysis. Administering antibiotics can treat bacterial meningitis, but it is not a priority intervention.
Choice D reason: Implementing droplet precautions is the first action that the nurse should perform because it addresses the priority problem of potential infection and inflammation of the meninges, which can cause serious complications such as brain damage or deatH. Implementing droplet precautions can prevent transmission of meningitis to other clients or staff, as meningitis can be spread by respiratory droplets from coughing, sneezing, or talkinG.
Correct Answer is C
Explanation
Choice A reason: "Repeat dose in 1 hour for unrelieved headachE." This instruction is incorrect because sumatriptan should not be taken more than twice in 24 hours.
Choice B reason: "Chew tablet well before swallowinG." This instruction is unnecessary because sumatriptan tablets are meant to be swallowed whole with water.
Choice C reason: "If you experience chest pain, call your physician immediately." This instruction is important because sumatriptan can cause coronary vasospasm, which can lead to angina or myocardial infarction.
Choice D reason: "Take daily to prevent headaches." This instruction is inappropriate because sumatriptan is used to treat acute migraine attacks, not to prevent them.
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