A patient with Parkinson's disease informs you
that the stiffness and slowness of movements associated with the illness have become worse. What should you teach the patient about this change?
a. "These changes are normal and expected as your disease progresses."
b. "You will need to use a walker at all times to avoid falls and accidents."
c. "Whenever your symptoms worsen, contact your prescriber right away."
d. "If your prescriber increases your drug dosage these functions will improve."
ANS: C
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The nurse is caring for a child who has had a ventriculoperitoneal shunt (VP) for hydrocephalus and observes an increasing abdominal girth. What is the most appropriate response?
a. Elevate the child's head. b. Check bowel sounds. c. Record retention of feeding. d. Notify the charge nurse of possible malabsorption.
The nurse is preparing to admit an elderly patient who is deaf. What should the nurse do to ensure effective communication with the patient?
1. Use the hospital-approved interpreter program. 2. Use the patient's family members to communicate with the patient. 3. Ask the patient to read assessment questions off of the computer screen. 4. Ask if anyone who is currently working could help communicate with the patient.
A visiting nurse observes signs of anxiety and stress in a newly widowed elderly client who lives alone. The MOST likely plan of intervention would be to:
a. commit the client for involuntary inpatient treatment b. provide resources to maintain a safe, comfortable, familiar home environment c. refer the client for psychoanalysis d. call a family meeting to plan transfer of the client into an assisted-living facility
The nurse is a member of a committee that is designing improvements to the critical care waiting areas
What improvements will the nurse suggest to enhance the comfort of family members of critical care patients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Plan for a large space to be used for the waiting areas. 2. Provide coffee and soft drinks in the waiting area. 3. Place televisions and videocassette players in the waiting area. 4. Find space for sleeping rooms. 5. Use dark paint and minimal lighting in the waiting areas.