Review Practice Exercise 3

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Practice Exercise 3

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Total Questions : 3

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Question 1:

A 65-year-old woman was just diagnosed with Parkinson’s disease. The priority nursing intervention is:

A. Searching the Internet for educational videos. B. Evaluating the home for environmental safety. C. Promoting physical exercise and a well-balanced diet. D. Designing an exercise program to strengthen and stretch specific muscles.

Answer and Explanation

Choice A:

Searching the Internet for educational videos: While education is important, it is not the priority at the time of diagnosis. Immediate focus should be on safety and risk prevention.

Choice B:

Evaluating the home for environmental safety: Clients with Parkinson’s are at increased risk for falls due to impaired balance and movement. Assessing and modifying the home environment is essential to prevent injuries and promote safe mobility.

Choice C:

Promoting physical exercise and a well-balanced diet: These are essential for long-term management but are not the most urgent concern at the initial stage. Safety comes first to prevent injury while physical routines are established.

Choice D:

Designing an exercise program to strengthen and stretch specific muscles: This is more appropriate after an initial assessment and once the client is stabilized. Early interventions should prioritize environmental and safety needs.

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Question 2:

A nurse is teaching a client newly diagnosed with Parkinson’s disease about management and treatment options. Which of the following statements should the nurse include? Select all that apply

A. "Levodopa can help improve movement by replenishing dopamine in the brain." B. "You should avoid all physical activity to reduce fatigue." C. "Occupational therapy may help with tasks such as dressing or feeding." D. "A high-protein meal will improve your medication's absorption." E. "Deep brain stimulation may be considered if medications are not effective."

Answer and Explanation

Choice A:

Levodopa can help improve movement by replenishing dopamine in the brain: Levodopa is the gold-standard medication that converts to dopamine in the brain, helping reduce motor symptoms.

Choice B:

"You should avoid all physical activity to reduce fatigue": Physical activity is encouraged in PD to maintain mobility and muscle strength.

Choice C:

Occupational therapy may help with tasks such as dressing or feeding: OT assists patients in maintaining independence with ADLs despite tremors or rigidity.

Choice D:

"A high-protein meal will improve your medication's absorption": High-protein meals can interfere with levodopa absorption and should be timed carefully.

Choice E:

Deep brain stimulation may be considered if medications are not effective: This surgical treatment can reduce motor complications when pharmacologic management is insufficient.

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Question 3:

A client with Parkinson’s disease is prescribed carbidopa-levodopa. Which instruction should the nurse include in the medication teaching?

A. "Avoid driving for 2 hours after each dose due to sedation." B. "Report any uncontrolled movements of the face, eyelids, or limbs." C. "Stop taking the medication if symptoms improve significantly." D. "Take this medication only at bedtime to prevent daytime drowsiness."

Answer and Explanation

Choice A:

Avoid driving for 2 hours after each dose due to sedation: Sedation is not a typical or predictable effect; driving precautions are based on individual response.

Choice B:

Report any uncontrolled movements of the face, eyelids, or limbs: These may indicate dyskinesias, a common side effect of long-term levodopa use, requiring dosage adjustment.

Choice C:

Stop taking the medication if symptoms improve significantly: Stopping levodopa abruptly can worsen symptoms and cause serious side effects.

Choice D:

Take this medication only at bedtime to prevent daytime drowsiness: It should be taken regularly during the day to control symptoms, not limited to bedtime.

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Practice Exercise 3

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