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 C

Explanation

Choice A reason: "Diet and exercise are good for you and good for your heart." This response is true, but it does not address the client's concern or provide any specific information about cardiac rehabilitation.

Choice B reason: "It's not unusual to feel that way at first, but once you learn the routine, you'll enjoy it." This response is empathetic, but it does not explain the benefits or goals of cardiac rehabilitation.

Choice C reason: "Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely." This response is accurate and informativE. It acknowledges the client's condition and provides realistic expectations about cardiac rehabilitation.

Choice D reason: "Your doctor is the expert here, and I'm sure he would only recommend what is best for you." This response is respectful, but it does not answer the client's question or encourage their participation in cardiac rehabilitation.

A. Document that the client has expressed concerns about the surgery B. Encourage the client to continue with the scheduled surger C. Remind the client that the consent has already been obtained D. Notify the charge nurse of the client's concerns about surgery

Correct Answer is D

Explanation

d) Notify the charge nurse of the client's concerns about surgery.

Explanation:

When a client expresses fear and uncertainty about undergoing surgery, it is important for the practical nurse (PN) to communicate this information to the charge nurse or the healthcare provider. By notifying the appropriate person, the PN ensures that the client's concerns are addressed and appropriate interventions can be implemented.

Options a) and c) are not the priority actions because documenting the client's concerns or reminding them about the signed consent does not address their emotional needs or provide support.

Option b) may not be the most appropriate response, as simply encouraging the client to continue with the scheduled surgery without addressing their fears and uncertainties may not be sufficient to alleviate their anxiety.

Therefore, the best course of action is to notify the charge nurse or healthcare provider so that they can assess the client's concerns, provide reassurance, and address any questions or fears the client may have prior to the surgery.

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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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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a myocardial infarction. The client questions the need for cardiac rehabilitation since "my heart is already damageD." Which of the following is the appropriate nursing response?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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