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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Hypothyroidism slows metabolism due to low thyroid hormone, reducing calorie burning and causing weight gain from fat accumulation and fluid retention in tissues.

Choice B reason: Diaphoresis (sweating) occurs in hyperthyroidism from excess metabolism raising body heat. Hypothyroidism causes dry skin and cold intolerance, not sweating.

Choice C reason: Exophthalmos, bulging eyes, results from Graves’ disease in hyperthyroidism due to orbital inflammation. Hypothyroidism doesn’t affect eye protrusion, making this unlikely.

Choice D reason: Palpitations stem from hyperthyroidism’s increased heart rate via excess thyroid hormone. Hypothyroidism slows heart rate, leading to bradycardia, not palpitations.

A. Phosphorus B. Calcium C. Magnesium D. Potassium

Correct Answer is A

Explanation

Choice A reason: Hypoparathyroidism lowers PTH, reducing phosphorus excretion, raising serum levels as kidneys reabsorb more, while calcium drops, a classic imbalance.

Choice B reason: Calcium decreases in hypoparathyroidism due to low PTH, impairing bone resorption and gut absorption, opposite to being high, so this is incorrect.

Choice C reason: Magnesium isn’t directly regulated by PTH; hypoparathyroidism doesn’t consistently elevate it, staying normal unless other factors intervene.

Choice D reason: Potassium is unaffected by hypoparathyroidism, controlled by aldosterone and kidneys, not PTH, so it doesn’t rise with this condition.

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The nurse is educating a client about Parkinson’s disease. Which of the following statements would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

Correct Answer is A

Explanation

Which electrolyte will be high in a client with hypoparathyroidism?

Correct Answer is A

Explanation

A nurse is assessing a client who is receiving levothyroxine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication?

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