The nurse is educating a client about Parkinson’s disease. Which of the following statements would require further teaching?
I should eat soft foods such as applesauce and yogurt if I have trouble swallowing
I could drink prune juice if I develop constipation
Carbidopa-levodopa will help with my symptoms
It results from the lack of acetylcholine
The Correct Answer is D
Choice A reason: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.
Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.
Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.
Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Untreated hypothyroidism progresses to myxedema, a severe state with slowed metabolism causing fatigue, cold intolerance, constipation, and hair loss from low thyroid hormone.
Choice B reason: Hypocalcemia results from hypoparathyroidism, not hypothyroidism, which affects metabolism, not calcium regulation directly, so it’s unrelated to these symptoms.
Choice C reason: Pericarditis may occur in severe hypothyroidism late, but it’s not the primary complication; myxedema encompasses the broader metabolic decline seen here.
Choice D reason: Thyroid crisis (storm) is a hyperthyroid emergency with fever and tachycardia, opposite to hypothyroidism’s slow symptoms like coldness and fatigue.
Correct Answer is C
Explanation
Choice A reason: Hydroxychloroquine treats autoimmune diseases like lupus by modulating immunity, not hyperthyroidism’s excess thyroid hormone production, irrelevant here.
Choice B reason: Levothyroxine supplements thyroid hormone in hypothyroidism, worsening this patient’s hyperthyroidism (high T3/T4), contraindicated for her symptoms.
Choice C reason: Potassium iodide inhibits thyroid hormone release, reducing T3 and T4 in hyperthyroidism (e.g., Graves’), addressing her goiter, exophthalmos, and weight loss effectively.
Choice D reason: Methotrexate suppresses immunity in cancer or autoimmunity, not targeting thyroid overactivity or hormone levels, unsuitable for hyperthyroidism management.
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