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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Providing total assistance with all ADLs is not an appropriate intervention for the client because it can decrease the client's independence and self-esteem, and increase the risk of complications such as pressure ulcers, contractures, and infections. The client should be encouraged to perform as much self-care as possible, with assistance as needeD.

Choice B reason: Ordering a low-residue diet is not an appropriate intervention for the client because it can cause constipation, which can worsen the client's bowel function and quality of lifE. The client should consume a balanced diet that includes adequate fiber, fluids, and nutrients.

Choice C reason: Encouraging the client to void every hour is not an appropriate intervention for the client because it can disrupt the client's normal bladder function and increase the risk of urinary tract infections. The client should follow a regular bladder training program that involves voiding at scheduled intervals, using pelvic floor exercises, and managing fluid intakE.

Choice D reason: Instructing the client on daily muscle stretching is an appropriate intervention for the client because it can improve the client's mobility, flexibility, and range of motion, as well as prevent muscle spasticity, stiffness, and pain. The client should perform gentle stretching exercises under the guidance of a physical therapist or nursE.

A. Deliver a clean voided urine specimen to the laboratory. B. Feed a client who has bilateral casts due to upper arm fractures. C. Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast. D. Obtain an extra box of tissues for a client who is concerned about running out of them.

Correct Answer is C

Explanation

Choice A reason: Delivering a clean voided urine specimen to the laboratory is not the first task that the AP should complete because it is not urgent or time-sensitivE. The specimen can be stored in a refrigerator or on ice until it is delivereD.

Choice B reason: Feeding a client who has bilateral casts due to upper arm fractures is not the first task that the AP should complete because it is not critical or life-threateninG. The client can wait until after breakfast to receive assistance with feedinG.

Choice C reason: Performing blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast is the first task that the AP should complete because it is essential and priority. The client needs to have their blood glucose level checked before receiving insulin to prevent hypoglycemia or hyperglycemiA.

Choice D reason: Obtaining an extra box of tissues for a client who is concerned about running out of them is not the first task that the AP should complete because it is not important or necessary. The client can use other alternatives such as paper towels or napkins until they get more tissues.

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A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesi

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