To achieve the outcome of fall prevention at home in the client diagnosed with Parkinson's Disease (PD), which intervention would the nurse include in the plan of care?
Arrange for social service consult for assistance with medication purchase
Have the client seen by a nursing assistant 3 times a week for hygiene
Ensure adequate lighting in areas where the client will ambulate
Reter the client to a nutritionist to address dietary measures
The Correct Answer is C
A) Arrange for social service consult for assistance with medication purchase:
While arranging for social service support can be beneficial in ensuring the client has access to necessary medications, this is not directly related to fall prevention at home. Falls in Parkinson's disease are more closely associated with mobility, balance, and environmental factors, which should be the focus of interventions aimed at reducing fall risk. Medication access is important but secondary to safety measures related to physical environment and mobility.
B) Have the client seen by a nursing assistant 3 times a week for hygiene:
While assistance with hygiene can certainly help support the client’s daily needs, the frequency of visits for hygiene care alone does not specifically address fall prevention. Falls are more directly linked to issues such as impaired balance, freezing episodes, and poor mobility—issues that should be addressed through environmental modifications and specific interventions aimed at improving safety during ambulation and transfers.
C) Ensure adequate lighting in areas where the client will ambulate:
Ensuring adequate lighting in areas where the client will ambulate is a critical intervention for fall prevention in individuals with Parkinson's disease. Parkinson's disease often causes balance and coordination problems, and inadequate lighting can increase the risk of tripping or falling, especially at night or in poorly lit areas. Proper lighting helps the client see obstacles and navigate their environment safely. This intervention directly addresses a key factor in fall risk and is an important part of the plan of care.
D) Refer the client to a nutritionist to address dietary measures:
Referral to a nutritionist can be helpful in managing some aspects of Parkinson's disease, particularly for addressing issues like constipation, weight management, or dysphagia. However, dietary measures do not have a direct impact on fall prevention. Fall prevention should focus more on mobility, strength, environmental safety, and managing the symptoms of Parkinson's disease that affect balance and movement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fully compensated respiratory acidosis: Fully compensated respiratory acidosis would involve a low pH (indicative of acidosis), elevated PaCO2 (due to impaired ventilation), and a normal HCO3 level as compensation by the kidneys. The given ABG results show metabolic acidosis with partial respiratory compensation, not respiratory acidosis.
B. Partially compensated respiratory acidosis: In respiratory acidosis, you would expect an elevated PaCO2 (not low, as seen here) and a compensatory increase in HCO3. However, the ABG results show low HCO3 and low PaCO2, indicating that this is metabolic acidosis, not respiratory acidosis.
C. Uncompensated metabolic acidosis: Uncompensated metabolic acidosis would be indicated by a low pH and low bicarbonate (HCO3), with normal PaCO2. Since the PaCO2 is low, this suggests partial respiratory compensation, making this scenario not uncompensated but partially compensated.
D. Partially compensated metabolic acidosis: To interpret these ABG results, let's break down the values:
pH 7.32 (normal range: 7.35–7.45) indicates acidosis, as it is below the normal range.
PaCO2 33 mmHg (normal range: 35–45 mmHg) is low, suggesting that respiratory compensation is occurring to counteract the acidosis. In metabolic acidosis, the lungs typically attempt to blow off CO2 to reduce acid levels, which is why PaCO2 is low here.
HCO3 16 mEq/L (normal range: 22–25 mEq/L) is low, confirming a metabolic acidosis. The low bicarbonate level is characteristic of metabolic acidosis, where the body loses too much bicarbonate or produces too much acid. PaO2 88 mmHg (normal range: 80–95 mmHg) is within the normal range and does not indicate a significant respiratory issue.
Correct Answer is ["3.9"]
Explanation
Step-by-Step Solution:
Convert the toddler's weight from pounds to kilograms.
1 pound is =0.453592 kilograms.
So, 26 pounds = 26 x 0.453592 = 11.793592 kilograms.
Calculate the total daily dose of prednisolone.
The prescribed dose is 2 mg/kg/day.
The toddler weighs 11.793592 kg.
The total daily dose = 2 mg/kg/day x 11.793592 kg = 23.587184 mg/day.
Determine the dose per administration.
The total daily dose is divided into two equal doses (every 12 hours).
The dose per administration = 23.587184 mg/day / 2 = 11.793592 mg per dose.
Calculate the volume of prednisolone syrup to administer.
The available prednisolone syrup is 15 mg/5 ml.
We need to administer 11.793592 mg per dose.
To find the volume, we can set up a proportion:
15 mg / 5 ml = 11.793592 mg / x ml
Cross-multiplying:
15x = 5 x 11.793592
Solving for x:
x = (5 x 11.793592) / 15 = 3.931197 ml
Round the answer to the nearest tenth.
3.9 ml.
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