The primary nursing goal for an older person with Parkinson's disease (PD) is to

a. Avoid development of the characteristic shuffling gait
b. Maintain continence
c. Maintain function and self-care
d. Facilitate taking medications as ordered


C
Promoting activity and self-care assists an older adult with PD to maintain functional ability. Response A, development of the shuffling gait, is often the most characteristic sign of PD. Safety promotion versus avoiding the shuffling gait is probably a more realistic goal. Responses B and D, promoting continence and taking medications, are usual activities to promote health for older adults with PD.

Nursing

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A patient with chronic renal disease has mild metabolic acidosis with a pH 7.30 and bicarbonate level 16 mEq/L. What treatment does the nurse anticipate?

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Nursing

During labor, the patient screams at her husband to get out of her sight. The nurse's most appropriate action would be to:

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Nursing

An older patient is worried about the cost of healthcare and supplies now that he has been diagnosed with type 2 diabetes mellitus. How should the nurse respond to this patient's concerns?

1. "I believe that some parts of Medicare will cover preventative care, such as diabetes monitoring." 2. "You only need to check your blood sugar once a day, so the cost should not be too high." 3. "Don't worry. I don't think the total bill will be too much." 4. "I don't know anything about insurance."

Nursing

The nurse is caring for a patient who is HIV positive and is taking zidovudine (Retrovir). Before administering the medication, the nurse should monitor which laboratory values?

a. Ketones in the urine and blood b. Serum immunoglobulin levels c. Serum lactate dehydrogenase d. Complete blood count (CBC)

Nursing