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Which clinical problem would the nurse include in the care plan for a patient with Parkinson's disease (PD)?

A.

Weight gain

B.

Cardiovascular problems

C.

Swallowing challenges

D.

Obesity

Answer and Explanation

The Correct Answer is C

Choice A reason: Weight gain is not commonly associated with Parkinson's disease. In fact, patients with PD often experience weight loss due to increased energy expenditure from tremors and muscle rigidity, as well as difficulties with eating.

Choice B reason: Cardiovascular problems are not directly caused by Parkinson's disease. While PD patients may have cardiovascular issues, these are typically related to age or other comorbid conditions rather than PD itself.

Choice C reason: Swallowing challenges, or dysphagia, are a significant concern for patients with Parkinson's disease. The motor symptoms of PD, including muscle rigidity and bradykinesia, can affect the muscles involved in swallowing, leading to difficulty eating and an increased risk of aspiration and choking. Addressing swallowing challenges is crucial for maintaining nutrition and preventing respiratory complications.

Choice D reason: Obesity is not a typical issue for patients with Parkinson's disease. As mentioned earlier, weight loss is more common due to the disease's impact on motor function and the effort required for daily activities.


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Related Questions

Correct Answer is ["B"]

Explanation

Choice A reason: Cleaning the stoma two times a week is not sufficient. Stoma care typically requires daily cleaning to prevent infection and ensure the area remains free from mucus buildup and irritation.

Choice B reason: Using a bedside humidifier is important for patients with a tracheostomy. The humidified air helps to keep the stoma and airway moist, preventing drying and crusting of secretions, which can obstruct the airway.

Choice C reason: Offering plenty of fluids to the patient helps to keep the mucus thin and easier to clear, which is crucial for maintaining a clear airway in patients with a tracheostomy.

Choice D reason: Keeping the stoma uncovered when the patient showers is incorrect. The stoma should be covered with a waterproof shield or dressing to prevent water from entering the airway, which can cause respiratory distress or infection.

Correct Answer is A

Explanation

Choice A reason: Administering antiemetics before chemotherapy is an effective intervention to help manage Sarah's nausea. Antiemetics can prevent or reduce the severity of nausea and vomiting associated with chemotherapy, making it easier for patients to tolerate treatment and maintain their nutritional status.

Choice B reason: Encouraging carbonated beverages is not a recommended intervention for managing nausea. Carbonated beverages can sometimes worsen nausea due to their acidity and carbonation.

Choice C reason: Recommending three large meals and two small snacks daily is not the best approach for managing nausea. Smaller, more frequent meals are generally more effective in preventing nausea and ensuring adequate calorie intake. Large meals can be overwhelming and may exacerbate nausea.

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