An adult client, diagnosed with Parkinson disease (PD), is asking about progression of the disease. Which are characteristics of the progression of Parkinson disease?
1. Anxiety and depression
2. Constipation and forgetfulness
3. Muscle rigidity and increased blood pressure.
4. Negative symptoms and interruption of sleeping patterns
2
Rationale 1:Anxiety and depression are other health problems associated with PD.
Rationale 2:Constipation and forgetfulness are not associated with progression of PD.
Rationale 3:Muscle rigidity is associated with PD. Increased blood pressure is not.
Rationale 4:Negative symptoms are associated with schizophrenia. Sleep disturbances are associated with PD.
Global Rationale: PD is a progressive neurologic disorder primarily affecting muscle movement and other problems may develop, including anxiety, depression, sleep disturbances, dementia, and disturbances related to urinating and performing sexually.
You might also like to view...
The nurse manager is conducting audits to help increase efficiency and reduce costs to enhance the quality of client care. Which suggestion by the manager may occur as a result of these audits?
A) Conduct a wound care study to enhance client outcomes. B) Install cameras to detect abuse of the clients. C) Acquire new client care equipment. D) Decrease staffing on the unit.
A nurse is teaching a group of nursing students about the differences between pure opioid agonists and agonist-antagonist opioids. Which statement by a student indicates understanding of the teaching?
a. "Agonist-antagonist opioids act as agon-ists at mu receptors only." b. "Agonist-antagonist opioids are effective for treating cancer pain." c. "Agonist-antagonist opioids enhance the effects of pure agonists." d. "Pure agonists act as agonists at both mu receptors and kappa receptors."
A client with unstable ventricular tachycardia is receiving amiodarone hydrochloride by intravenous infusion. The nurse notes that the client's heart rate has decreased from 68 to 50 beats/min. The client is asymptomatic
What would be the nurse's best action? A. Stop the infusion. B. Slow the infusion rate. C. Administer a precordial thump. D. Place the client in a side-lying position.
A nurse who works on the labor and delivery floor of the hospital has observed that the rate of cesarean sections on the floor is close to 35%. The nurse and colleagues have agreed that this needs to be addressed. How should they proceed?
A. Begin teaching natural childbirth classes. B. Speak with the physicians about the current statistics and the need to address it. C. Perform a community assessment to determine what factors are contributing to the elevated C-section rate. D. Set a hospital goal to lower the C-section rate to under 30% within five years.