A nurse is providing teaching to a client who has stage 2 Parkinson's disease. Which of the following instructions should the nurse include in the teaching?
"Schedule appointments early in the morning."
"Look down at your feet when walking."
"Thicken liquids to promote swallowing."
"Take a laxative if you experience constipation."
The Correct Answer is C
Choice A rationale:
Scheduling appointments earlier in the day accommodates the client's potential "on" periods when Parkinson's symptoms are better controlled.
Choice B rationale:
Looking down at the feet while walking is a technique that can help improve gait and stability, as Parkinson's disease often affects balance.
Choice C rationale:
Thicker liquids are less likely to cause aspiration in individuals with Parkinson's disease, as they can have difficulty coordinating the muscles needed for swallowing.
Choice D rationale:
Constipation is a common issue in Parkinson's disease due to decreased gastrointestinal motility. However, focusing on dietary fiber and fluid intake is preferred before considering laxatives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.
Choice B rationale:
Decreased secretions can occur as the body's systems gradually shut down during the dying process.
Choice C rationale:
Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.
Choice D rationale:
Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.
Correct Answer is B
Explanation
Choice A rationale:
Morphine subcutaneously can help reduce anxiety and stress, but supplying oxygen is the priority intervention.
Choice B rationale:
During a hypercyanotic spell ("tet spell"), the infant's oxygen levels drop, leading to cyanosis (blue skin) and distress. Administering oxygen can help improve oxygen saturation and alleviate the spell.
Choice C rationale:
Calming and soothing the child may not be sufficient to address the oxygen saturation issue during a hypercyanotic spell.
Choice D rationale:
Placing the infant in a knee-chest position can help improve blood flow, but administering oxygen should be the initial step.
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