A client tells the nurse that he is experiencing some leg stiffness when walking and slowness when performing ADLs. Occasionally he has noted slight tremors in his hands at rest. This in-formation leads the nurse to suspect
a. amyotrophic lateral sclerosis (ALS).
b. Huntington's disease.
c. myasthenia gravis (MG).
d. Parkinson's disease (PD).
D
Early in PD the client may notice a slight slowing in the ability to perform ADLs. A general feeling of stiffness may be noticed, along with mild, diffuse muscular pain. Tremor is a common early manifestation that usually occurs in one of the upper limbs.
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A client is prescribed an antipsychotic drug that also has an antiemetic effect. Which of the following would the nurse identify as having this effect? Select all that apply
A) Lithium (Eskalith) B) Aripiprazole (Abilify) C) Chlorpromazine (Thorazine) D) Prochlorperazine (Compazine) E) Clozapine (Clozaril)
The patient with the crushed forearm cannot get pain relief with opioids. The injury is swollen, cool, and cyanotic, with weak distal pulses. The nurse assesses that this is a(n):
1. compartment syndrome. 2. overwhelming infection. 3. fat embolus. 4. osteomyelitis.
The family of a terminally ill patient asks the nurse what they should expect when she dies. The nurse tells the family:
1. "Her heart will stop, and she will stop breathing a few minutes later." 2. "Respirations and heart rate first become very irregular and then stop altogether." 3. "Everybody is different, so it is difficult to say." 4. "Her breathing will stop, and her heart will cease beating within a few minutes."
A middle-aged client tells the nurse that she is scheduled for a treatment to reduce facial wrinkles and the cost is much less than a plastic surgeon. Which of the following should the nurse respond to this client?
1. "I would like to schedule the same procedure for myself." 2. "Did you research why the cost is less than a plastic surgeon's?" 3. "It is so much better to avoid surgery if possible." 4. "I am sure you will feel much better afterwards."